Drive bigger savings for your health plan
Start maximizing claims payment recoveries with a comprehensive, proactive approach.
Our solutions bring together breakthrough technology and market-leading expertise to solve a big challenge in healthcare — payer responsibility. Our team and processes accurately identify liable parties, increasing your claims payment recoveries and preventing misattributed payments.
Coordination of Benefits Solution
Quickly identify members with more than one health plan and determine payment responsibility.
Subrogation Solutions
Streamline recovery through our structured, proven process. Explore our offerings:
Subrogation Case Identification
Workers’ Compensation Recovery
Explore related solutions
Healthcare sustainability depends on integrity
The health of the healthcare system improves when spending is responsible and accurate. Today, platform technology and advanced analytics are paving the way to make that more efficient and more proactive than ever before.
Learn about the opportunities we see to embed more financial integrity across the healthcare system.
A health plan’s journey to maximizing health claim recoveries
March 11, 2024
When you make a claim payment that was not your plan’s responsibility, you can count on us to identify and recover those funds.
Improving subrogation performance
January 20, 2024
Watch an interview with Aaron Browder, President of Carelon Payment Integrity Solutions, and learn how forward-thinking health plans are maximizing recovery and improving member experience.
How payment integrity is evolving
January 22, 2024
Technology is driving rapid change in payment integrity. Hear from our payment integrity leaders where the category is heading.
How health plans can simplify payment accuracy for better results
April 17, 2024
Carelon Payment Integrity bundles its advanced Subrogation Solution and Coordination of Benefit Solution on a single platform to create Carelon Other Payer Liability Solutions, a comprehensive approach to drive payment accuracy and better results.
Ask us about our Other Party Liability Solutions
Health plan leaders, contact us to learn more about the possibilities and impact of our Other Party Liability Solutions.
Are you a health plan member?
If you’re a health plan member and have a question about your health plan, please call the member services number on the back of your health plan ID card.
