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Claims and payment accuracy

Optum® Payment Integrity strengthens accuracy at every touch point in the billing lifecycle.

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Enhance claims payment accuracy

Everyone involved in health care delivery wants accurate billing and payment. Our team partners with providers, payers and other stakeholders to improve accuracy and transparency.

Our payment integrity solutions can be implemented at any stage. And they integrate with your existing processes.

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Comprehensive payment integrity

Taking a comprehensive approach to payment integrity can help health plans reduce administrative and medical costs and improve relationships.

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Explore our solutions

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Comprehensive Payment Integrity

Centralize payment integrity for increased results.
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Claims Pricing Solutions

Drive prospective payment system pricing accuracy and efficiency with Optum® EASYGroup™.

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Claims Validation

Validate all claims while minimizing provider abrasion.
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EDI Messaging

Achieve higher first-pass billing accuracy.
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Provider Education

Enhance billing accuracy and provider relations.
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Emergency Department Claim Analyzers

Control rising emergency outpatient facility cost.
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Claims Edit System

Edit claims for all business lines and claim types.
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Network Solutions

Our solutions focus on out-of-network claims.
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Coordination of Benefits

Identify critical administrative coordination of benefits issues.
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Data Mining

Identify and recover payment errors.
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Itemized Bill Review

Save on high-dollar inpatient cases.
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Maximize recoveries with member sensitivity.
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Credit Balance

Maximize overpayment recovery.
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Payment Recovery

Focus on claims resolution.
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Advisory Services

Take the proactive path to payment integrity.

Realize cost savings with our payment integrity solutions