Stop suspect claims

Sept. 1, 2011

Neural analytics and reporting tools have been integrated into the McKesson Total Payment solution via the InvestiClaim module. This module allows payers to avoid more wasteful and abusive claims up front and makes fraud recovery efforts more efficient on the back end. InvestiClaim incorporates the Total Payment claims auditing rules engine and claims operational data store, so clinical rules and pre-pay, data-driven analytics are combined on the same transaction platform. The solution also provides extensive workflow functionality for full collaboration among special investigations, claims operations and auditing departments.


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