Healthalytica utilizes an ever-evolving array of best-in-class technologies to deliver efficiencies and savings to our clients. Central to our process is our Insight Engine.
The algorithms driving our Insight Engine are designed to forensically scan claims data in real-time for overpayments due to provider billing errors, fraud, waste or abuse. It is rules-based to identify and correct inaccuracies before being submitted for payment – saving manpower, time and money.
Importantly, Insight Engine is data driven so it can identify impactful billing patterns and can predict negative trends before impacting a plan’s financial performance.