Where your Total Payment Integrity™ experts share the latest resources, news, and events

Looking for the latest news in technology-enabled services for healthcare insurance claims? Then you’re in the right spot! Review our library of articles and blog posts about everything from payment integrity solutions to software as a service (SaaS) platforms like Pareo® that allow you to get claims right the first time. Questions? Comments? Get in touch with our progressive team of experts today.

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Status Emails Drain Health Plan Productivity

If your auditors’ workflow depends on email, there’s a more productive way forward. Confession time, health plans: how much of your auditors’ workflow depends upon email? Are they working claims based upon what they were pinged about most recently? You’re not alone....

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Provider to Health Plan: It’s not me, it’s you.

Are you playing a costly game of “Who’s got the medical record”? 90% of your health plan’s cost containment efforts are the source of provider friction. Your health plan has one directive: control medical spend. And despite tight timelines, a shortage of skilled...

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Does Your Health Plan Even A.I.?

Artificial Intelligence was a much-hyped “trend” for healthcare technology in 2018 but adoption waned. Here’s what AI is — and isn’t — and why it’s crucial in 2019. When IBM Watson, the AI supercomputer created by IBM, won Jeopardy! and then moved on to a career in...

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A Custom FWA Solution for Smaller Health Plans

Out-of-the-box Fraud, Waste and Abuse solutions just don’t cut it for smaller health plans. If you lead a health plan with fewer than 250k covered lives, you may think you’re out of luck when it comes to a comprehensive FWA solution. Some of the larger technology...

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