Healthcare Payment Integrity Solutions
Recover more overpayments with zero risk or disruption
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Delivering for our clients at scale
Recover erroneous payments faster
Complex processes, talent shortages and technology limitations can lead to health plans leaving money on the table. Our professional teams and AI-enabled technology identify erroneous payments and recover them faster, leveraging integrated prospective and retrospective methods. With these time-tested approaches, we ensure reduced provider abrasion through timely communication, billing accuracy and greater transparency.
*Source: Infosys BPM
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Build relationships
Leverage a national footprint with 1500+ providers for credit balance services.
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Drive ROI
More than 80% of subrogation and COB recoveries collected.
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Control RX spend
Recoup up to 3% of total pharmacy spend with our pharmacy audit services.
Our solutions, your success
“Conduent’s approach to payment integrity is proactive and smart…the combination of innovative technology, seasoned healthcare experts and extensive recovery knowledge has made our decision to work with Conduent very successful…”
– Director of Payment Integrity, Regional Health
Maximize payment recoveries and prevention
With over 35 years of experience in payment integrity, our solutions seamlessly integrate with multiple data sources, analytics and technologies as well as feature a nationwide footprint to quickly recover the most funds possible. Save more and pass it to your customers with our bundled Payment Integrity Solutions.
