Recovery Solution Features

OptumInsight Recovery Solution offers three approaches to helping health plans resolve errant claims:

Traditional recovery

• A strategic approach built on positive provider relationships
• Resolution process begins as soon as a case is loaded into the recovery system
• Recovery specialists reach out through letters, phone calls, and interaction with provider staff

DirectConnect

• Proprietary technology connects health plans and providers via a universal portal
• Enables health plans and providers to communicate in real time about erroneous claims
• Automatically and systematically drives the resolution process

On-site provider network

• Taps OptumInsight’s long-term alliances and on-site resources at provider facilities
• Reduces phone calls, letters, and emails
• In-person interaction with providers helps improve relationships and decrease administrative costs