Case Study

24+ years of partnership with a major health plan leads to billions in recoveries

24+ years of partnership with a major health plan leads to billions in recoveries

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Conduent’s 24-year partnership with a major health plan has delivered more than $1.5 billion in recoveries since 2004 by addressing provider overpayments across a 10-state footprint. Leveraging a nationwide provider network, Conduent expanded onsite audit access from 21 to 483 providers—a 2,200 percent increase—while deploying local experts for reviews. Their approach transformed outdated data mining into highly targeted recovery processes, consistently achieving over 6,000 monthly recoveries and surpassing goals each year. With 35 years of industry experience and support for 9 of the top 10 U.S. health plans, Conduent drives efficiency, compliance, and financial improvement.

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