Payment Intelligence®

Find and fix the sources of your costly claims challenges.


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.

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100+

Health Plans consulting experience leveraged.

4-9%

Reduction in claims processing costs from root cause analysis.

Up to 4%

Savings 1st year through recovery and fixes.

120+

Health plans advised.

4-9%

Reduction in claims processing costs from root cause analysis.

Up to 4%

First year savings through recovery and fixes.



What is Payment Intelligence®? change

Modern technology infused with healthcare payer expertise

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.

Smart scalability

Increase capacity without more headcount

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.

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Begin saving sooner

Be up and running in 90 days

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.

Cost-saving process

Find and fix the root cause of costly issues

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.

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Events

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JUNE 14, 2022 /1:00-2:00 PM EST / EXECUTIVE IDEA EXCHANGE

The Future is Now: Embracing Technology and Analytics in your Healthcare Operations Modernization Journey

Join Women Business Leaders (WBL) and AArete for this interactive virtual discussion on the need for operational modernization in the healthcare industry.

How much could you improve the profitability of your health plan?


There are many moving parts that can impact your bottom line. What happens if you tweak your process? Check out this calculator to identify the potential for you.