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
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