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   Health payers can now identify overpayments that have eluded pre-payment claim edits using our proven three step approach.

First we analyze your paid claims and produce an “Overpayment Scorecard” that highlights the areas with the greatest potential return.

Next we custom-tailor a program to fit your specific needs.

Finally we deliver 100% validated overpayments that are ready to recover.

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    Pre-payment implementation of policy
 decisions does not guarantee that the claim
 will be paid accurately. Any decision that
 results in processor or analyst intervention
 can result in payment errors.

 Post-payment analysis of paid claim data is
 the most effective measurement of the
 quality of policy implementation. This
 essential management tool can be used to
 effectively audit performance and manage
 quality.

 We build categories based on your policies
 and run your paid claims against them. The
 result determines if the policy has been
 implemented correctly.

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