A Precision-Oriented Approach to Maximize Savings on High-Cost Claims

Better adjudication of high-cost inpatient and outpatient claims before payment has been demonstrated by health plans to be the right path to take. Health plans can ensure they optimize processes, minimize turnaround times, reduce the number of appeals, and maximize returns by combining the best human capital assets, 3rd party partners, and technology, freeing them to focus on core competencies such as crucial relationships with members and providers.