Flexible Prepayment Model

Flexible Prepayment Model

One of the nation’s largest payers had an outdated, outsourced payment integrity program. Until they enlisted Machinify.

A payer covering 17MM lives had an outsourced program and an outdated system that led to extended review times, high administrative waste, inaccurate claim payments, and high provider abrasion. Sound familiar?

  • Goal: Increase the visibility, accuracy, and efficiency of their payment integrity program. Boost provider satisfaction. Save on costs.
  • Solution: We partnered with the payer to streamline their reviews with our tech-forward SaaS platform that allows for both insourcing and outsourcing.
  • Results: Find out in our full case study.

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