Payment Intelligence®

Find and fix the sources of your costly claims challenges.

Incorporate your plan-specific policy, contractual obligations, and regulatory requirements into the decision-making. And more importantly, identify and address the root cause of issues to limit reoccurring, costly claims challenges.

Let’s help you get payments processed right the first time.

Results: Financial safeguards, improved member satisfaction, and enhanced provider relations backed by secure, compliant systems.

Two layers of screenshots seen from above side angle.

100+

Health Plans consulting experience leveraged.

4-9%

Reduction in claims processing costs from root cause analysis.

Up to 5%

Savings 1st year through recovery and fixes.

120+

Health plans advised.

4-9%

Reduction in administrative claims processing costs from root cause analysis.

Up to 5%

First year medical claims savings through recovery and fixes.

What is Payment Intelligence®?

Modern technology infused with healthcare payer expertise

As a health plan, claims need to be paid accurately based on a complex set of contractual and regulatory requirements that go beyond traditional payment integrity. AArete Payment Intelligence® provides you with a tool that has been built based on our vast experience helping organizations like yours. By combining that experience with machine learning and artificial intelligence, you get results that reflect your sophisticated needs and adapt to new requirements in this evolving industry.

Learn More

Smart scalability

Increase capacity without more headcount

Planning to grow your membership or provider network? Payment Intelligence® can support the added volume and complexity in claims with intelligence, speed and accuracy in evaluation, while effectively minimizing false positives and appeals.

Learn More