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Payment
AccuracyClinical, analytical and technical expertise for
total payment accuracy.
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Payment Accuracy
Payment accuracy requires containing the entire fraud continuum.
Our Claims Editing and Fraud Prevention solutions ensure one thing: that you pay right. A convergence of data, technology and analytics, our suite of solutions leverages another important element - human expertise, which is the result of experience, intellect and intuition. From real-time claims editing to fraud detection and prevention, this unique process is at the core of each and every payment accuracy solution.
Payment Accuracy Solutions
DentalClaim Insight
Improve dental claim payment accuracy by leveraging our real-time editing solutions and dental experience.
FacilityClaim Insight
Reduce your facility claims with our expertise in editing and negotiation.
Fraud Finder Pro
Prospectively identify new and emerging fraud schemes with next generation technology and clinical review.
Fraud Finder Pro Rx
Apply clinical and predictive modeling with clinical validation to increase accuracy and minimize false positives.
Nucleus Technology
View and pay claims on the most user-friendly payment accuracy software ever built.
PhysicianClaim Insight
Deliver superior payment recommendations by combining sub-second processing with transparent, open-source edits.