Payment integrity ensures that a health claim is paid correctly—by the responsible party, for eligible members, according to contractual terms, not in error, and free of wasteful or abusive practices. But managing and improving payment integrity is not as simple as defining it.
Discovery Health Partners is dedicated to helping health plans identify and remedy the many challenges they encounter in their payment integrity efforts. While these problems are often complex, the solutions don’t have to be. The Discovery team has proven results in helping plans:
- Simplify the approach to make improved payment integrity a manageable, achievable goal
- Implement flexible solutions, either from our suite of proven solutions or by customizing our technology and expertise to meet a plan’s unique needs
- Recognize better payment integrity results quickly and with minimal disruption