Providers and Health Plans Collaborate to
Lower Costs and Improve Outcomes
The current relationship between payer and provider is fraught
with inefficiency, manual administration and unnecessary costs.
As the complex world of contracting and claim adjudication evolves, payers and providers have an ever-greater imperative to employ better engagement tools that create gains in efficiency, transparency, and allow for faster resolution and ultimate avoidance of billing and reimbursement issues.
Pareo® Supports Payer-Provider Collaboration
Payers that have adopted Pareo® to support their internal and third-party payment integrity operations have a unique and value-added solution to offer their most valued network of providers with an engagement module that allows for:
Lower Costs
Single Source of Information
Clean Claims Education
Increased Collaboration
How can providers benefit from a health plan adopting the advanced
payment integrity technology platform Pareo®?
When the health plans you participate with work with ClarisHealth, you can expect more
effective two-way communication for a mutually beneficial relationship based on trust.
Access a dedicated, HIPAA-compliant provider portal
Engage with the health plan on underpayments and denials to improve communication and reduce impact on the patients you serve
Self-report credit balances and unsolicited refunds to prevent double-dip attempts
Receive alerts on medical records requests, overpayments, underpayments and denials — with appropriate detail and education — to resolve issues quickly and reduce re-work costs
Submit medical records, documentation and claims electronically to comply with tight turnaround times and receive payment faster
Latest Blog Posts
Modernizing communication with providers
Time to move past playing telephone with providers. Here’s a better communication strategy for health plans. By relying on fax machines and snail mail to communicate overpayments, underpayments, denials, and just about everything else, the payer-provider relationship...
Prepare to Meet the Future with Data
We revisit ONC’s Information Blocking Rule, recap public comments, and look at how health plans can meet data sharing requirements.Earlier this year, we wrote about the ONC’s proposed information blocking rule and how it serves as an opportunity for health...
Top 10 Ways to Maximize Your Health Plan’s Recoveries
Want to maximize your health plan’s recoveries? Of course you do. Here’s how. There’s a great deal of uncertainty in healthcare today, but one thing never changes: health plans’ desire to grow their recoveries. But, stuck dealing with insufficient technology or...