Payment Integrity Analytics

Transform payment processes with AI

Navigating payment integrity challenges is crucial for healthcare payers and providers to prevent revenue loss and compliance issues. Concentrix’s Payment Integrity Analytics solution ensures accurate payments, curbing fraud and abuse without manual intervention.

Accelerate and ensure accurate claims payment

The Concentrix Payment Integrity Analytics solution uses an AI-driven analytics engine that seamlessly integrates into any stage of your payment cycle—to accelerate claims processes and ensure payment integrity. Powered by advanced machine learning models, it makes use of pre-built rules and predictive modelling to mitigate fraud, prevent overpayments, and minimize many of the frustrations associated with billing, reimbursement, and claims-related tasks. We help you to pave the way for improved efficiency and customer satisfaction throughout the healthcare payment experience.

Identify and validate claims and prevent overpayments before they occur.

Combine data from multiple systems and data sources with secure and cloud-enabled API connectivity.

Streamline data analysis using clear rules and advanced technology like prediction, data mining, and machine learning.

Services & Solutions

Provider Network Analysis

Use social network analysis capabilities to identify recipients with multiple providers.

Provider Effectiveness

Employ peer benchmarking to reduce errors, fraud, waste, and abuse, whether intentional or unintentional.

Real-Time Monitoring

Deliver customized messaging and offerings across all interaction points. Our expertise in intelligent omnichannel strategies guarantees a consistent, relevant, and personalized customer experience—everywhere, every time.