Coordination of Benefits Solutions
A solution for commercial and government payers to optimize cost savings with accurate eligibility information and the proactive identification of undisclosed coverage prior to claim payment.
Achieve 99% accuracy in verifying alternative coverage.1 Our nationwide eligibility data repository contains policy coverage across multiple policy types, driving unprecedented accuracy and savings for payers.
Identify undisclosed coverage prior to claim payment to help reduce the cost and time spent on retrospective claim analysis and payment recovery.
Gain access to integrated medical, pharmacy, dental, and vision eligibility information updated daily and residing in a more secure cloud environment.
Streamline the recovery of improper payments for both state agencies and managed care organizations.
Improve provider satisfaction by quickly delivering accurate primary coverage data prior to payment to avoid recoveries.
Validate member status for Dual Special Needs Plans & Medicare Advantage Plans validate their members’ Medicaid status.
accurate verification of alternative coverage1
Average PMPY increase in cost avoidance2
average increase in recovered payments2
1. Change Healthcare internal statistics based on data for all customers using the Coordination of Benefits solution during a one-year period. Individual results may vary.