Pre-Payment Insight & Review

An analytics and methodology-driven prepayment solution for payers that want to broadly view billing activity, identify improper payments before they are paid, and reduce waste in the payment process.

Contact Us

Minimize Pre-Payment Waste

pre-payment-insight-review-identify-improper-claims

Identify improper claims, allowing an opportunity to correct them and deliver medical cost savings.

pre-payment-insight-review-reduce-pay-chase

Reduce pay and chase as savings are captured before they are paid.

pre-payment-insight-review-maximize-incremental-savings

Maximize incremental savings with sophisticated cross-claim logic.

pre-payment-insight-review-minimize-improper-payment-risk

Minimize improper payment risk.

pre-payment-insight-review-increase-efficiencies

Increase efficiencies with automated detection capabilities.

pre-payment-insight-review-access-results-status

Access results and status through our client portal to identify gaps in the claim payment process.

Increase Transparency and Minimize Costs

pre-payment-insight-review-expert-insights

Expert insights

  • Leverage the breadth of information available on our Intelligent Healthcare Network™.
  • Enhance your approach to preventing unnecessary losses with our clinical experts and certified coders that evaluate flagged claims for potential risk, and provide expert insights.
  • Reduce provider abrasion with an expert staff that reviews flagged claims and only selects those for medical record review that have highest potential for savings.
pre-payment-insight-review-record-review-service

Record review service

  • Identify claims for review with powerful data-driven analytics and industry sourced, proprietary claim screening logic combined with our expert triage process.
  • Identify new and emerging abnormal claims submission scenarios.
  • Take advantage of our experts that deliver detailed documentation of review findings and provide support through the appeal process.
pre-payment-insight-review-supplemental-code-edit-service

Supplemental code edit service

  • Access continuously updated edits that identify code edit savings often missed by primary code edit software.
  • Depend on customized code edits that act as a safety net for primary code edit solutions that may not be fully up-to-date.
  • Ensure edits are current with our Software as a Service (SaaS) approach.

Talk to Sales 1-866-817-3813

Get Started Online

Required *