The only integrated payment integrity and FWA platform on the market.

Pareo is a technology ecosystem comprised of modules designed to drive greater cost-containment goals. What can Pareo help your health plan achieve?

Scale Internal & External Payment Integrity Operations

As pressure to reduce healthcare costs increases, the importance of payment accuracy comes into focus. A robust payment integrity operation requires specialized resources, strong analytics and enabling technology. Pareo offers all of these capabilities to health plans.

Pareo® Audit

Empower your internal claims analysts to own the complete claims lifecycle. End-to-end management, access to our comprehensive analytics library, sophisticated workflows and automation offer your internal teams the power to insource more non-clinical claims work.

Pareo® Clinical

Enable a strategic shift to insourcing clinical audits while mitigating provider abrasion with Pareo Clinical, an A.I.-enabled clinical management platform. Easily avoid overlap, access clinical analytics and optimize resources seamlessly while maintaining visibility and control over the end-to-end process.

Expand Prepay Cost Avoidance

Pareo can enable prepay cost avoidance programs at health plans by centralizing data, automating workflows, providing transparency into claims inventory, enabling timing safeguards, and more. 

Pareo® Prepay

Accelerate your payment integrity operations by enabling prospective claims savings. Pareo Prepay enables unique workflows, tools and reports for Pareo Audit, Clinical and Supplier Optimization to enhance the claims lifecycle, source root cause, and more.

Pareo® Supplier Optimization

Health plans may have little visibility into how their suppliers communicate with providers, which can create mounting frustrating for all involved. Supplier Optimization can work fluidly with Audit (or alone) to store medical records and prevent overlapping requests to providers as it enhances supplier productivity by as much as 35%.

Enhance Collaboration Between Payment Integrity & SIU

Payment integrity and SIU teams share a common goal: to prevent improper payments. But often, these teams operate in silos at health plans with little ability to share crucial information. Pareo offers a single source of truth for health plans in the form of robust communication and detection capabilities that can enhance collaboration between internal teams.

Pareo® Audit

Empower your internal claims analysts to own the complete claims lifecycle. End-to-end management, access to our comprehensive analytics library, sophisticated workflows and automation offer your internal teams the power to insource more non-clinical claims work.

Pareo® Fraud

Harness the power of true A.I. combined with domain expertise in a fully integrated Detection & Case Management solution that allows your SIU to find more leads with fewer false positives. Pareo Fraud offers robust management tools and pushes leads to investigators by monitoring aberrances, going deeper and wider into data.

Reduce Provider Abrasion

Lack of visibility and transparency into provider claims communications can cause abrasion with valuable stakeholders. Eliminate frustration for providers by using Pareo to automate medical records requests, enable overlap controls, provide direct communication, and more.

Pareo® Clinical

Gain direct line of sight into provider communications with Pareo Clinical, which reduces abrasion by automating medical records requests and enabling overlap controls. Configurable workflows can automate the lettering process with providers.  

Pareo® Supplier Optimization

Health plans may have little visibility into how their suppliers communicate with providers, which can create mounting frustrating for all involved. Supplier Optimization can work fluidly with Audit (or alone) to store medical records and prevent overlapping requests to providers as it enhances supplier productivity by as much as 35%.

Pareo® Provider

Digitze and streamline your provider strategy with a secure, bi-directional portal. Medical providers have access to real-time claims payment information and can directly report overpayments that will log into Pareo.

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Optimize Suppliers

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Improve Fraud Detection Efforts

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Visualize Data Across Payment Integrity & SIU

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Manage Home / Host Recoveries & Reimbursements

Pareo® Platform