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The fundamentals of payment integrity for TPAs

As healthcare costs, membership numbers, and utilization continue to rise, the pressure and demand for employers to have visibility into payment integrity measures implemented by their third-party administrator (TPA) is growing rapidly. In fact, TPAs that don’t offer prepay integrity services risk losing a competitive advantage.

Watch our on-demand webinar as we break down:

  • Best practices in prepay integrity program design
  • Strategies for TPAs and employers to work together
  • Important technical and clinical components to consider

Don’t miss this opportunity to deliver better value for your self-funded clients by implementing effective payment integrity solutions. 

About the Author

As vice president of product management, Michael's role is to build capabilities within Cotiviti's prospective Payment Accuracy solutions. This involves understanding the changing dynamics of prospective claims editing and applying solutions that ensure accuracy in the complex interchange between healthcare providers and client payers.

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