Control Your Prepay Strategy

Transition from Pay-and-Chase to Prevention: Download Your Guide to Prepay Excellence

In this in-depth whitepaper, we explore how health plans can take control of their prepay operations and offer insights on:

✓ The Prepay Opportunity: Why 60%+ of payment integrity savings are now prepay and how to reduce provider abrasion while maximizing cost avoidance

✓ Overcoming Barriers: Breaking down silos, reducing vendor dependency, and addressing the limitations of primary claims editors

✓ Building Your Strategy: Five essential elements, including advanced technology adoption, workflow optimization, and vendor visibility

✓ Proven Results: Real-world case study showing 6% savings potential and $40M in recoveries with self-serve secondary edits

✓ The Pareo Advantage: How integrated payment integrity technology delivers 30% cost reduction and empowers health plans to own their prepay strategy

Health plans are increasingly shifting payment integrity efforts upstream, with prepay strategies now accounting for over 60% of total savings. But transitioning from vendor-dependent post-pay recovery to internal prepay cost avoidance requires the right technology, processes, and visibility. This comprehensive guide walks you through proven strategies to reduce administrative costs by 30%, minimize provider abrasion, and build a sustainable payment integrity operation that puts you in control.