Leverage tech that’s built to incorporate your plan-specific policy, contractual and regulatory obligations into the decision making. And more importantly, identify and address the root cause of issues.
Results: Claims get processed right the first time.
Health Plans consulting experience leveraged.
Health plans advised.
First year savings through recovery and fixes.
As a health plan, claims need to be paid accurately based on a complex set of contractual and regulatory requirements that go beyond traditional payment integrity. AArete’s Payment Intelligence® provides you with a tool that has been built based on our vast experience helping organizations like yours. By combining that experience with machine learning and artificial intelligence, you get results that reflect your sophisticated needs and adapt to new requirements in this evolving industry.
Planning to grow your membership or provider network? Payment Intelligence® can support the added volume and complexity in claims with intelligence, speed and accuracy in evaluation, while effectively minimizing false positives and appeals.
Payment Intelligence® is configured for your needs and processing opportunities in as little as ninety days. See the results reflected is the Ida™ workbench dashboard from the onset.
Post-pay recoupment is a costly process. With our root cause analysis, we identify the source of the problem and help your process become smarter and more efficient, saving you both time and money.