Payment Integrity

Coordination of Benefits

Drive measurable cost savings and millions of dollars in recoveries for health plans

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Simplifying patient billing: How to improve your revenue cycle

Conduent offers a variety of strategies that help healthcare providers improve collections while enhancing patient engagement,

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Subrogation Solutions: Generating $3B in recoveries for a top health plan

Turn missed opportunities into substantial recoveries with minimal member abrasion.

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almost NaN years ago

Subrogation gone wrong: The hidden financial exposure in self-insured programs

In today’s environment, every dollar matters. Subrogation, when managed strategically, returns real value with minimal risk. But when mismanaged, it quietly erodes the financial performance.

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3 months ago

The future of claims automation

AI-powered automation is unlocking a smarter, faster and more transparent approach to claims management. From faster processing and reduced costs the benefits of claims automation are measurable.

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The evolving margin landscape and its impact on Coordination of Benefits

Conduent’s COB solution helped one national health plan recover an additional $5M in funds by automating their matching efforts – enabling them to make coverage determinations earlier.

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Pharmacy audits uncovered: Are pharmacy benefit managers doing enough?

Pharmacy Benefit Managers (PBMs) play a crucial role in overseeing prescription drug spending, ensuring that claims are accurate and preventing fraud, waste and abuse.

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over 1 year ago

Three strategic guideposts for health plans in the fast-paced digital age: Part 3 – Payment Integrity Solutions

Now, in part three, we set our sights on the guidepost that illuminates the path forward to business sustainability: payment integrity.

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