Visibility:

With robust dynamic dashboards that can be customized, Health Plans and vendors get a detailed real time update on the life cycle of the claim, type of recovery by volume and value, plan vs. actual, vendor, provider and more

Dynamic workflow:

Health Plan and vendor can setup their individual workflow queues to manage internal routing and reporting

Productivity:

Vendors get detailed visibility to the productivity of their auditors and collection agents. Vendor details are rolled up, so Health Plans get a comprehensive view of recoveries by vendors, return on investment and value generated.

Financial Oversight:
With every claim tracked from identification to recovery, the Health Plan can track and predict recoveries by month, quarter and year. With details on the claims by different statuses, recoveries can be accelerated to meet any quarterly financial shortfalls

Provider Abrasion: Payment Integrity efforts have a direct impact on NPS and Provider grievances. With a consolidated data by claim and provider, the Health Plan can get reports on which providers are contacted multiple times and preempt any complaints or grievances. The Payment Integrity efforts can be turned up or down to minimize Provider noise.

Analytics: With a robust Datawarehouse and detailed activity log, advanced analytics can help bring transparency and visibility to the Payment Integrity efforts.