Credit Balance Resolution Overview

OptumInsight Credit Balance Resolution service experts research and resolve hospitals’ and health systems’ inventory of credit balance accounts so health plans can:

• Recover overpayments
• Prevent recurring errors
• Provide actionable reporting

Our Credit Balance Resolution service provides on-site and remote location professionals to identify, validate, and recover overpayments and prevent errors. By sending resources directly to facilities, we’re able to develop relationships, gather information, and resolve credit balances.

OptumInsight teams identify the procedural and system issues that cause credit balances in the first place and identify opportunities to prevent future overpayments.

Our detailed root-cause error documentation allows both the health plans and providers to discontinue processes that lead to ongoing errant claims.