A Prospective Approach
A prospective approach to Payment Integrity (PI) includes a clear strategy and a proactive approach to coordination of benefits.
Coordination of Benefits is an integral part of your PI initiatives. Find out how to reduce improper payments without member disruption and provider abrasion.
National registry sourced directly from health plans and updated weekly with coverage data for more than 180M lives.
COB Smart exclusive matching algorithm results in 99.99% accuracy rate- maximizing cost avoidance savings opportunities, minimizing manual rework activities.
COB Smart solution determines primacy by identifying other coverage from the point of enrollment from the source of truth – health plans - before a claim is paid.