Operational & administrative efficiency

Streamline administrative processes and improve compliance

With all the issues that health plans face, achieving significant claims cost management is an absolute necessity to meet medical loss ratio goals. Insurers need accurate transactions, a detailed compliance strategy, and a future-ready network for health information exchange.

OptumInsight provides a comprehensive set of prospective and retrospective solutions to help your organization keep its payment stream cleaner, more precise, and more transparent so the right claims get paid at the right time.

Our transaction testing, validation, and translation products and consulting services can help your company maintain compliance and minimize the time and cost of migrating to the new HIPAA 5010 and ICD-10 standards. We also enable network excellence by uncovering gaps, automating the credentialing process, and increasing promotion using new consumer technologies.