OptumInsight pre-payment solutions help you avoid inappropriate medical expense payouts by providing facility and professional claims editing, prospective payment solutions, fraud and abuse detection, injury coverage coordination, out-of-network fee negotiations and prepricing, and member enrollment integrity.
Our software and services help you:
- Prevent payment on erroneous claims
- Discover potentially fraudulent claims
- Successfully manage out-of-network provider relations and payments
- Reduce administrative costs with readily customizable claims editing