Payment Intelligence®

Find and fix the sources of your claims challenges.

Accurate payment processing strengthens provider relationships, improves member satisfaction, enhances compliance, and reduces the reoccurrence of claims issues. AArete has helped over 70 health plans integrate plan-specific policies and regulations to streamline decisions and drive consistent, compliant payment accuracy.

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Typical Savings for AArete Clients

$8 PMPM

Which could yield $29M in savings on average for a 300,000-member plan in Year 1 — outpacing competitors 3 to 1.*

*Based on competitors reporting an average savings of ~$2–$3 Per Member Per Month (PMPM).

Up to 5%

First-year reduction in claims waste and abuse to ensure compliance, above and beyond opportunities 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 life cycle.

$8 PMPM

Which could yield $29M in savings on average for a 300,000-member plan in Year 1 — outpacing competitors 3 to 1.*

^{*Based on competitors reporting an average savings of ~$2–$3 Per Member Per Month (PMPM).}

Up to 5%

First-year reduction in claims waste and abuse to ensure compliance, above and beyond opportunities 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 life cycle.

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.

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