Provider Scope Product Datasheet
Provider Scope compares each providers’ claims and coding practices to their peers, identifies outlier behavior, and proactively engages providers to improve claim integrity and bring down pre-claim costs with a provider self-monitoring and communication portal. Provider Scope allows payers and healthcare companies to efficiently reduce coding errors and influence healthcare costs prior to submission of claims while decreasing provider abrasion
This product datasheet explains how the Provider Scope product works and how it can help your Chief Medical Officers, provider education and network teams bring down costs pre-claim with unique provider and facility insights.
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FORENSIC AI PLATFORM
Our Forensic AI Engine analyzes your data, detects problems, and builds connections across your data to provide actionable insights
Insight Scope
For everyone across the health plan
Clinical Scope
For clinical teams
Audit Scope
For everyone across the health plan and PBM
Network Scope
For network teams
Payment Scope
For payment integrity teams
Provider Scope
For network and payment teams
Fraud Scope
For SIU teams
SERVICES
We provide a full range of professional services, from data migration and ongoing customer success through flexible virtual SIU options.