Smart Tech With Industry Expertise


By combining healthcare industry experience with machine learning and artificial intelligence-based analytics, you get a solution that supports and adapts to the complexity of your requirements and needs. Backed by AArete’s history as a consulting firm, Payment Intelligence® helps manage claims efficiently and cost-effectively.

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. Payment Intelligence™ models and edits learn, adjust and adapt to those new requirements and regulations that emerge over time to provide you with an automated process that minimizes manual review.

Screenshot.
Screenshot.
Screenshot.
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. It effectively minimizes false positives while reducing the related appeals. Payment Intelligence® models learn, adjust and adapt to those new requirements and regulations that emerge over time to provide you with a more automated process that minimizes manual review.

Screenshot.
Screenshot.
A gender fluid person with short hair, glasses wearing sweatshirt and jeans is looking to their left while typing on a laptop in their lap.
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 on the Ida™ workbench dashboard from the onset. After go-live, the following three months the models are adjusted and finetuned, minimizing workload. Additional edits and models may be added to augment your capabilities even further. This optimization results in an approach that increases accuracy – and savings.

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.

A young woman in skit and top facing camera with hands in pockets.
Ongoing risk management

Security and compliance with traceability

The highly configurable models in Payment Intelligence® incorporate the complexities of your company policies, contractual obligations, and regulatory requirements to ensure compliance. AArete’s traceability of opportunities through the process ensures data security and enables findings to be tracked and managed effectively. Leveraging AArete’s long-time experience and expertise in healthcare, the regulatory nuances for programs such as Medicaid and Medicare are continuously monitored and applied to the model building process. Payment Intelligence® provides you with opportunities, insights into root cause, and robust reporting that allows for traceability. No surprises, just solid information.

Team Support

More than technology

Outliers can happen as your system is learning and may require a human’s eyes. Your team is already busy enough. Our team of Payment Intelligence experts understand both your business and the process in order to provide support to make the adjustments needed. The changes reduce false positives and your team is supported through the process with ours.

A young man seen in 3/4 profile smiling while sitting in front of a laptop and there is a soft drink container in foreground.

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.