Solutions
Data Mining
Identify, eliminate, recover, and root cause discovery and reporting.
Prospective Claims Accuracy
Your first line of defense to cost avoidance. Identify errors before you pay the claim.
Network & Pricing Optimization
Negotiations for out-of-network, carve outs and Specialty Networks.
Clinical Reviews
Clinical
Line By Line Clinical Review by experienced clinicians.
OPA Validation
Outpatient auditing to ensure accuracy and compliance in this environment.
DRG
Confirming diagnostic and procedural information as reported to ensure it matches the medical record.
Other Party Liablity
Healthcare Subrogation
Deep expertise and advance technologies to identify and shift liability to correct payer.
COB
Leverage AS360 advanced analytics to identify members with additional health insurance coverage. Right Payer, Right Time.
P & C Subrogation
Advanced analytics, identification and recovery.
Workers’ Compensation
Medical Bill Review
We make sure the charges billed are supported by the medical record.
DME & Pharmacy
Access 68,000 pharmacies nationwide, DME & Pharmacy networks with reporting information and analytics.
Predictive Analytics
ODG based tools combined with AS360 Predictive Analytics.
Our healthcare solutions overcome payment inaccuracies and help solve payment integrity challenges.
Get in touch with an expert.
Digging Deeper. Covering More Ground. Claim by Claim.
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