Overview

OptumInsight Data Integration, Data Mining, and Analytics Services combine advanced analytics including predictive modeling, prospective claims review, and retrospective analyses as well as expert analysis of Medicaid paid-claims data to identify and recover overpayments.

This comprehensive suite includes everything from identification and financial resolution to root cause analysis and prevention. We apply customized, proprietary software solutions, rigorous data mining, expert interpretation of complex claims information, and on-site business process outsourcing to discover and resolve errant claims. Data Integration, Data Mining, and Analytics Services help you:

• Analyze and identify overpaid claims
• Resolve claims in a timely and accurate manner
• Pinpoint the root cause of errors to prevent future overpayments