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With the U.S. healthcare system spending more than $600 billion on prescription drugs annually, it’s more important than ever for health plans to ensure payment integrity for claims for pharmacy services and medications covered under the plan’s medical benefit. But this can be challenging for payers.
See how Cotiviti’s Data Mining pharmacy solution uncovered millions in inaccurate payments for two health plans using predictive analytics and specialist validation. Learn how Data Mining can:
- Validate findings
- Help ensure thorough medical pharmacy claim review
- Increase payment accuracy for your organization