Fraud, Waste, and Abuse Analytics
The healthcare industry loses billions of dollars every year due to fraud, waste and abuse. Actian’s Analytics Platform enables fraud investigators to identify and predict improper billing patterns with speed and precision.
Customer Engagement & Member Retention
As growth in individual health plan membership rises, it is becoming even more critical for health plans to optimize customer engagement in order to grow overall retention and increase customer loyalty. With Actian’s customer engagement solution, organizations will gain visibility into their population base to develop real-time customer-centric action plans.
Clinical Auto-coding (CAC) Audit
Actian’s CAC analytics tool enables organizations to maximize the effectiveness of the claims audit process as well as ensure that they are meeting their fiduciary and compliance obligations.
Claims Integration & Validation
Healthcare organizations can remove the barriers of long-processing cycles and gain immediate ROI on highly-accurate claims that run in a real-time environment by automating their claims preparation and validation process using Actian’s high-performance integration solution.