Payment Intelligence®
Find and fix the sources of your costly claims challenges.
Accurate payment processing is crucial for health plans. We specialize in integrating your plan-specific policies, contractual obligations, and regulatory requirements into the decision-making process, saving valuable time and reducing costs while improving payment accuracy and operational efficiency.
Results:
- Visualization of your savings
- Strengthened provider relations
- Improved member satisfaction
- Enhanced compliance
- Reduced reoccurrences of costly issues.
70+
Health Plans Advised on Payment Accuracy.
Up to 5%*
First-Year Medical Claims Savings above and beyond savings identified by other vendors or internal processes
Up to 18%*
Annual Reductions in Administrative Costs by systematically eliminating inaccuracies and driving productivity improvements in the claims payment lifecycle
*Typical client savings
70+
Health Plans Advised on Payment Accuracy.
Up to 5%*
First-Year Medical Claims Savings above and beyond savings identified by other vendors or internal processes
Up to 18%*
Annual Reductions in Administrative Costs by systematically eliminating inaccuracies and driving productivity improvements in the claims payment lifecycle
*Typical client savings
An AI-Powered Payment Accuracy Solution for Health Plans
Start benefiting from a solution that incorporates your plan-specific policies, contractual obligations, and regulatory requirements into the decision making.
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 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.
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.
Speed to Delivery
Payment Intelligence® is configured for your needs and processing opportunities in as little as 30 days from data load.
Find and fix the root cause of costly issues
Post-pay recoupment is costly. We reduce the reoccurrence of these costly issues by identifying and resolving the source of the problem.