Search Results for: payment integrity

ClarisHealth Unveils Pareo Partner Exchange: Revolutionizing Payment Integrity for Payers
Finance Fintech News

ClarisHealth Unveils Pareo Partner Exchange: Revolutionizing Payment Integrity for Payers

PR Newswire
by PR Newswire0
Payment Integrity industry’s first integrated ecosystem set to accelerate value delivery and reduce administrative complexity in $9 billion market. Groundbreaking offering addresses the growing complexity in vendor management and empowers health plans to leverage innovative solutions within Pareo and manage their end-to-end payment integrity program. ClarisHealth, a leader in payment integrity technology......
Alivia Analytics Expands Payment Integrity Solutions for Healthcare Payers
Digital Payments Fintech News

Alivia Analytics Expands Payment Integrity Solutions for Healthcare Payers

PR Newswire
by PR Newswire0
Alivia Analytics, a leading AI-powered healthcare data analytics and technology company, announced the expansion of its payment integrity solutions designed to help healthcare payers reduce payment errors and improve financial accuracy – backed by a powerful, configurable platform. The offerings focus on key areas critical to ensuring payment integrity across......
Penstock Achieves HITRUST Certification for Payment Integrity SaaS ClearBridge
Digital Payments News

Penstock Achieves HITRUST Certification for Payment Integrity SaaS ClearBridge

PR Newswire
by PR Newswire0
Penstock Group, a leader in the healthcare payment integrity space, announced that ClearBridge, its comprehensive SaaS payment integrity solution, has earned certified status by HITRUST for information security. Risk-Based, 2-year (r2) Certification demonstrates that ClearBridge has met demanding regulatory compliance and industry-defined requirements and is appropriately managing risk. This achievement places......
Artificial Intelligence News

CERIS Announces Innovations in Artificial Intelligence and Machine Learning That Improve Payment Integrity

GlobeNewswire
by GlobeNewswire0
Advancements in artificial intelligence (AI) and machine learning (ML) are significantly improving results and efficiencies for payment integrity in medical claims, according to CERIS, a CorVel company. “CERIS leads the industry in leveraging AI and ML to automate tasks for greater efficiency and accuracy, to find patterns that may indicate......
Eir Partners invests in ClaimLogiq, the Leader in Healthcare SaaS Payment Integrity Solutions
Digital Wallet News

Eir Partners invests in ClaimLogiq, the Leader in Healthcare SaaS Payment Integrity Solutions

Fintech News Desk
by Fintech News Desk0
Eir Partners announced the completion of a growth recapitalization of ClaimLogiq, the leading Software-as-a-Service and technology enabled payment integrity platform focused on pre-payment solutions.  ClaimLogiq has developed a best-in-class technology that enables health plans to optimize payment integrity programs through a more proactive SaaS, Service and Hybrid model. The investment......
Payment Integrity Leader ClaimLogiq Acquires NLP Pioneer SyTrue
Digital Wallet News

Payment Integrity Leader ClaimLogiq Acquires NLP Pioneer SyTrue

Fintech News Desk
by Fintech News Desk0
Combining the premier payment integrity platform with the leading NLP technology solution to transform how health plans address payment integrity, risk adjustment and data management ClaimLogiq, a leading technology enabling payment integrity platform, announced that it has acquired SyTrue, the pioneer in healthcare natural language processing technology, creating a seamless......
Mastercard AI Modeling Capability Enhances MPI Solution
Artificial Intelligence Digital Payments News

Mastercard AI Modeling Capability Enhances Milliman Payment Integrity Solution

Fintech News Desk
by Fintech News Desk0
Proof of concept finds $239 million in suspected healthcare fraud, waste, and abuse Mastercard announced it recently completed a successful proof of concept coupling Mastercard’s artificial intelligence modeling technology with the Milliman Payment Integrity solution (MPI) to enhance detection of suspected healthcare fraud, waste, and abuse (FWA). Recognizing the value......
Amlan Dasgupta Joins HealthEdge Payment Integrity Product Division
Digital Payments News

Amlan Dasgupta Joins HealthEdge Payment Integrity Product Division

Fintech News Desk
by Fintech News Desk0
Exec to Build on Explosive Growth in Payer Adoption of Source HealthEdge Software, provider of the industry’s leading next-gen integrated solution suite for health insurers, said today that Amlan Dasgupta has joined the company as Chief Technology Officer and Senior Vice President of Product Development for the Source product division.......
Burgess Again Named Sample Vendor for Prospective Payment Integrity Solutions in Gartner Hype Cycle
Digital Payments News

Burgess Again Named Sample Vendor for Prospective Payment Integrity Solutions in Gartner Hype Cycle

Fintech News Desk
by Fintech News Desk0
The Burgess Group, an innovator in healthcare payment operations for more than 20 years, said it has been named a Sample Vendor in the Prospective Payment Integrity Solutions category in the Gartner report: Hype Cycle for U.S. Healthcare Payers, 2021.i “We are delighted to be recognized this way for the......
Burgess Again Named Sample Vendor for Prospective Payment Integrity Solutions in Gartner Hype Cycle for US Healthcare Payers, 2021
Fintech Investment Services News

Burgess Again Named Sample Vendor for Prospective Payment Integrity Solutions in Gartner Hype Cycle for US Healthcare Payers, 2021

Fintech News Desk
by Fintech News Desk0
The Burgess Group, an innovator in healthcare payment operations for more than 20 years, said it has been named a Sample Vendor in the Prospective Payment Integrity Solutions category in the Gartner report: Hype Cycle for US Healthcare Payers, 2021. “We are delighted to be recognized this way for the......
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