Healthcare Business Solutions Healthcare Payment Integrity Solutions Recover more overpayments with zero risk or disruption Connect with us Delivering for our clients at scale 7/10 top health plans are partners ~$1B recovered annually for health plans 135M covered lives served Recover erroneous payments faster Complex processes, talent shortages and technology limitations can lead to health plans leaving money on the table. Our professional teams and AI-enabled technology identify erroneous payments and recover them faster, leveraging integrated prospective and retrospective methods. With these time-tested approaches, we ensure reduced provider abrasion through timely communication, billing accuracy and greater transparency. *Source: Infosys BPM Build relationships Leverage a national footprint with 1500+ providers for credit balance services. Drive ROI More than 80% of subrogation and COB recoveries collected. Control RX spend Recoup up to 3% of total pharmacy spend with our pharmacy audit services. Our solutions, your success “Conduent’s approach to payment integrity is proactive and smart…the combination of innovative technology, seasoned healthcare experts and extensive recovery knowledge has made our decision to work with Conduent very successful…” – Director of Payment Integrity, Regional Health Maximize payment recoveries and prevention With over 35 years of experience in payment integrity, our solutions seamlessly integrate with multiple data sources, analytics and technologies as well as feature a nationwide footprint to quickly recover the most funds possible. Save more and pass it to your customers with our bundled Payment Integrity Solutions. Coordination of Benefits (COB) Services Increase recoveries, quickly identify other insurance and easily update member records accessing CMS, NAIC and more. Learn more Credit Balance Services Recover significant funds faster with our dedicated team that validates credit balances and handles recoupment whether it’s onsite, digital or over the phone. Learn more Subrogation Services Protect your organization from erroneous medical and disability-related payments backed by our own in-house attorneys and recovery specialists. Learn more Pharmacy Audit and Compliance Services Contain spiraling expenses and identify real-time discrepancies with our secure portal that enables provider oversight for existing audit programs and stand-alone service. Learn more Emergency Department Coding Accuracy Services Tap into an overlooked source of revenue with resources that ensure ED coding accuracy and that costs match the level of care. Learn more Featured insights Stopping the emergency department payment hemorrhage Read the eBook Recovering millions for a nationwide payer Read the case study Related Healthcare Business Solutions Community and Population Health Solutions Medical Bill Review Pharmaceutical and Life Science Solutions Health Plan Administration Services
Coordination of Benefits (COB) Services Increase recoveries, quickly identify other insurance and easily update member records accessing CMS, NAIC and more. Learn more
Credit Balance Services Recover significant funds faster with our dedicated team that validates credit balances and handles recoupment whether it’s onsite, digital or over the phone. Learn more
Subrogation Services Protect your organization from erroneous medical and disability-related payments backed by our own in-house attorneys and recovery specialists. Learn more
Pharmacy Audit and Compliance Services Contain spiraling expenses and identify real-time discrepancies with our secure portal that enables provider oversight for existing audit programs and stand-alone service. Learn more
Emergency Department Coding Accuracy Services Tap into an overlooked source of revenue with resources that ensure ED coding accuracy and that costs match the level of care. Learn more