Strategically cost avoid to improve claims accuracy
Leverage the Pareo platform to drive more claims work prospective.
Front-end payment error prevention transforms claims recovery efforts.
ClarisHealth designed Pareo® Prepay to help health plans shift more efforts prospective and gain traction on aggressive payment accuracy targets. Our solution increases visibility into the claims lifecycle to reduce improperly paid claims over time.
Pareo Prepay works within the robust Pareo platform to solve key barriers, such as
decentralized payment integrity and FWA operations, that prevent strong cost-avoidance efforts. With greater transparency, better data, and improved reporting, Pareo Prepay can identify opportunities for prospective claims validation.
Endlessly configurable technology platform adapts to meet your cost-containment goals and unique processes. A solution should work for you – not the other way around.
Leverage multiple prepay detection sources and route directly to platform for lead validation and adjudication.
Custom workflows integrate pre-and post-pay audits to streamline disparate data sources.
Move more prepay work internal to scale cost-containment operations.
Easily move post-pay analytics to prepay to reduce the risk of overpayments. Configurable timers, notifications, and triggers allow auditors to work quickly.
Leverage integrated confidence reporting to continuously reduce pay-and-chase volumes.
Increase cost-savings with a strong prepay strategy.
Intelligent tools enable faster decisions
Standardized data streams, A.I.-enabled detection and decisioning tools, and document management systems accelerate decision making.
With Pareo Prepay, plans can easily apply successful post-pay analytics prospectively to avoid overpayments.
A successful prepay program relies on quick communication with providers. Present adjusted claims to providers and log responses via a secure portal.
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