OptumInsight Claims Editing System (iCES) for Professional Claims Overview

A question of competitive position

Your streamlining of workflow and decision making processes, coupled with reduced administrative costs, can yield significant savings that strengthen your ability to service beneficiaries and help you comply with ever-changing prompt-pay legislation. In the dynamic industry of health care benefits administration, the many advantages of OptumInsight Professional Claims can help you keep pace with change, manage medical costs, improve workflow, and serve ever-increasing populations.

Increase your savings potential by:

• Improving the appropriateness of claims payments—automatically
• Slashing inconsistent manual review and reallocate your resources
• Facilitating resolution of provider appeals by basing adjudication on contracted rates
• Reducing costs with a browser-based interface system
• Detecting overpayments before payment
• Enjoying responsive customer support

Seamless claims processing

More than an unbundling and editing tool, OptumInsight Professional Claims enables you to fine-tune your operations for seamless claims processing with fast turnaround times and minimal administrative burden. Your streamlining of workflow and decision making processes, coupled with reduced administrative costs, can yield significant savings that strengthen your ability to service beneficiaries and help you comply with ever-changing prompt-pay legislation.