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What is Payment Intelligence™?

Modern technology infused with healthcare payer expertise.

As a health plan, you need to pay claims accurately based on a complex set of contractual and regulatory requirements. AArete’s Payment Intelligence™ provides a tool that has been built based on our vast services experience helping organizations like yours. By combining that expertise with machine learning and artificial intelligence, you get results that reflect your sophisticated needs and adapts to new requirements in this evolving industry.

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Results: Claims get processed right the first time.

Find and fix the sources of your claims reimbursement issues.

Find and fix the sources of your claims reimbursement issues. 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.

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Identify. Build. Launch: Three Months to ROI.

COMMITMENT IDENTIFICATION & DATA PREPARATION

Month One: It’s all about the essentials.

MODEL LEARNING AND BUILDING QUALITY

Month Two: It’s all about iterative learning.

MODEL TESTING AND LAUNCH

Month Three: It’s all about getting it right.

AUGMENTING MODELS AND CAPABILITIES

Next 90 Days: It’s all about optimizing results.

For the next three months following the launch of your initial Payment Intelligence Workbench, we’ll continue to add new layers of intelligence with additional models. Ultimately, helping you achieve achieve steady state, identify actionable findings, and maximize the return on your investment.
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Could you improve your plan’s profitability?

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.

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Ready for a deep dive?

Learn more about our features, process, FAQs, insights and more.

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