In addition to reducing improper payments, a robust prepay savings target can also help a health plan remain competitive. One mid-sized integrated delivery network-owned health plan in the southern United States with just under 100,000 members views success in prepay editing as a prerequisite for competing in the marketplace among its regional peers.

Read our Savings Spotlight and learn how the plan achieved:

• Increased prepay savings by avoiding improper claims payment
• Improved competitive position in the marketplace
• Improved payment integrity for more accurate provider payments
• Reduced provider abrasion