What if your PI reporting reported it all?

The right solutions can right your bottom line

 

Health plans have consistently struggled to realize the full value of their payment integrity (PI) programs. A number of reasons, such as employing generic solutions, agreeing to a "black box" vendor approach, or PI mismanagement, have contributed to the problem.

So how can health plans achieve better results? They can start with a payment integrity partner that incorporates agile and customizable solutions and provides a clear picture of their PI program. This allows them to fine-tune and optimize their investment on an ongoing basis and in a collaborative, transparent way.

 

 

How our on-demand reporting tool makes a difference

 

Carelon is invested in creating more effective solutions. Our on-demand reporting is one example of how our solutions go beyond what is currently in the marketplace. It helps you operate with efficiency, allowing you to validate claims more quickly and easily.    

How it benefits you

Our on-demand reporting is highly detailed, which gives you significant advantages, including:

  • Real-time insights: immediate access to current results makes it possible to address issues as they arise.
  • Enhanced decision-making: timely access to information allows for better-informed next steps.
  • Operational efficiency: the ability to generate reports on demand not only helps identify trends and patterns, but contributes to overall financial optimization.

 

See the entirety of your PI value


With Carelon PI, you can leverage our customizable on-demand reporting to drive the performance of your PI program and your organization as a whole.


Learn more
about our Carelon Payment Integrity Solution or contact us.

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