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

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Growth is a team sport

Our core values of delivering profound client value, reliable results, applied innovation, trusted quality and mindful stewardship are at the heart of everything we do. We hire the right people for our team at every level of our organization who can pitch in as a true team member, know how to get things done, and help drive change while inspiring others. Putting our core values to work at work makes anything possible.

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.

Learn more about Premium Restoration

Identify instances of other coverage in order to maximize recoveries and drive future cost avoidance.

Learn more about Coordination of Benefits

Gain control by digging deeper into your claims data to identify and resolve incorrectly paid claims.

Learn more about Data Mining

Maximize recoveries from other responsible parties with improved identification and prevention.

Learn more about Subrogation

Analyze and review healthcare claims to detect and deter billing errors and eliminate wasteful claims spending.

Learn more about Clinical Audits

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

  • The company seems to be very focused on providing value, not just getting a sale. We have been able to learn from your team things that will make our team more productive as well.

    Manager
    KelseyCare
  • Your team is great at building trust. I have had nothing but a positive and efficient experience.

    Manager
    large Midwest health plan
  • Your client service is outstanding. You truly feel like a business partner, and you deliver strong results—a breath of fresh air among vendors.

    Senior Manager
    Humana

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

Get in touch
Discovery Health PartnersSolutions