Overview

Our Credit Balance Resolution solution augments existing efforts of both Medicaid and its providers to communicate, resolve, and recover claims overpayments. We provide on-site credit balance auditors as well as sophisticated technology that tracks inventory through each stage of the resolution process for increased recovery volumes and decreased time-to-resolution.

With a dedicated staff of more than 750 highly trained on-site account managers and quality specialists, OptumInsight is securely positioned as an industry leader in delivering an unparalleled provider network and service infrastructure and this turn-key solution provides immediate financial results. Only OptumInsight has a daily on-site presence with dedicated, on-site account managers in all 50 states.

Our Credit Balance Resolution team of experts helps:

• Research and resolve credit balance accounts
• Recover overpayments and help prevent recurring errors
• Provide actionable reporting and benchmarking health plan performance