Prevent. Correct. Recover.
Accelerate your payment integrity results
As the healthcare landscape continues to evolve, your health plan must work harder to ensure greater payment accuracy, reduce waste, and drive revenue growth. Continual changes in membership and regulations significantly affect the claims processing lifecycle, leading to inaccurate payments and time-consuming recoveries.
You need the right partner to help you transform your plan’s operations and bottom line. Discovery is that partner—we bring the right mix of technology, process, and people to eliminate the hassles associated with payment integrity and revenue optimization.
Explore Discovery
Blog
Executive perspective on payment integrity trends
As the industry transitions from volume to value-based healthcare, health plans continue to face a number of challenges. We recently sat down with Jason Brown, CEO of Discovery Health Partners, to get his thoughts on recent trends and how they’re shaping the road ahead for payment integrity in 2020.
Our solutions
Identify and recover lost health care dollars with an expert team and suite of proven solutions. Our enterprise payment integrity approach is designed to complement your existing process and find additional payment errors that others miss.
- Premium Restoration
- Coordination of Benefits
- Data Mining
- Subrogation
- Clinical Audits
Find and restore millions of additional premium dollars owed to you for managing Medicare Advantage members.
Identify instances of other coverage in order to maximize recoveries and drive future cost avoidance.
Gain control by digging deeper into your claims data to identify and resolve incorrectly paid claims.
Maximize recoveries from other responsible parties with improved identification and prevention.
Analyze and review healthcare claims to detect and deter billing errors and eliminate wasteful claims spending.
Your partner, not a vendor
Every step of the way, we help payers identify improperly paid claims and improve their bottom-line performance. Our strong commitment to partnership and client focus is at the heart of everything we do. With Discovery you get:
Proven results
Get the value you need with a trusted partner. For more than a decade, we’ve helped payers improve operational efficiency, achieve financial integrity, and generate measurable improvements.
Satisfaction throughout the healthcare ecosystem
Your members and providers are a top priority. We help improve their satisfaction by reducing the friction commonly associated with the payment recovery process.
Technology-driven approach
We harness the power of data analytics, data mining, and machine learning to more effectively identify and resolve opportunities for recovery and revenue protection.
Unprecedented visibility
You deserve to know how your data is performing. Our commitment to transparency gives you increased visibility into payment resolution, performance trends, and outliers.
Our clients say it best
Results you can count on
Trusted by 6
of the top 10 U.S. health plans
29 million
lives processed monthly
300 million
premium restoration value created
Contact us today for more information on accelerating your payment integrity results
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