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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.
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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



What is Payment Intelligence®?

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.

What is Payment Intelligence®?

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.

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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.

Begin saving sooner

Speed to Delivery

Payment Intelligence® is configured for your needs and processing opportunities in as little as 30 days from data load.

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Cost-saving process

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. 

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.