Faster Pre-Payment Reviews. Unparalleled Payment Integrity Accuracy.

Accelerate your payment integrity program’s success with AI-powered solutions and tech-enabled services that streamline and automate pre-payment claim reviews to increase efficiency, accuracy, and transparency.

Key Points
Increased Accuracy And Completeness
Complete Transparency And Control
Flexible SaaS, Service, And Hybrid Models

A New Kind of Payment Integrity Program

Today’s healthcare payers often struggle with provider abrasion, lack of transparency, operational inefficiencies, and inaccuracies in their payment integrity programs.

Apixio is revolutionizing Payment Integrity for health plans, driving significant medical spend savings and delivering a strong return on investment (ROI). We offer a tech-enabled engagement model with unparalleled flexibility – choose between SaaS, Service, or Hybrid solutions. Our commitment to payment accuracy, powered by artificial intelligence (AI) and configurability, tailors solutions to your specific needs, providing end-to-end platform transparency and real-time insights. Unlike others, Apixio meets you where you are in your payment integrity journey, ensuring a unique and seamless experience that translates into substantial savings and ROI.

Benefits

Efficient Tech-Enabled Capabilities

Use intelligent automation, OCR processing, and NLP insight creation to review more claims in a fraction of the time.

Configurable, Flexible Solutions

Configure payment and clinical policies, set up transparent reporting, and onboard services to augment internal capacity.

Program Transparency

Apixio’s platform provides real-time insights and control, allowing plans to monitor their programs proactively.

Increased Payment Accuracy for Cost Savings

Utilize tailored solutions that identify and capture savings through medical spend management.

The Impact

15 Min.

Reviews

15 minutes or less on itemized bill reviews

45%+

Efficiency

45%+ efficiency gains for clinical chart reviews

15-20%

Savings

15-20% average savings per claim

98%

Accuracy

98% review accuracy

Safeguard Your Payment Integrity Success with Apixio

Explore how Apixio can support your organization’s transformation toward a pre-payment approach to payment integrity.