Vendor Sheet

Payment Integrity Services Identify opportunities to increase recovery rates

Payment Integrity Services Identify opportunities to increase recovery rates

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Conduent’s Payment Integrity Services help healthcare payers recover claim overpayments and prevent future losses by integrating data sources, analytics, and technology with a nationwide recovery network. Services include Coordination of Benefits to update member records and prevent duplicate payments, Credit Balance Services to validate and recoup funds, Subrogation Services to ensure the correct party pays liability claims, and Pharmacy Audit and Compliance Services to identify discrepancies. With 30+ years of experience, Conduent recovered over $600 million in 2022 and supports 17 of the top 20 U.S. health plans, delivering outcome-based, low-risk solutions.

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