Healthcare Payers
The Earliest & Most Comprehensive Cost Containment Intervention for Healthcare Payers
Supercharge payment accuracy and strengthen provider relationships with innovative generative AI that fuels next-level payment integrity outcomes.
Maximize Payment Integrity. Minimize Costs. See How.
Proudly reducing healthcare costs for
and trusted by top healthcare payers, government agencies, and pharmacy benefit managers (PBM/PBAs)
Empowering Healthcare Payers with Generative AI-Driven Cost Containment
Today’s healthcare payers face unprecedented challenges in controlling costs while maintaining payment accuracy. Traditional approaches to payment integrity and fraud, waste, and abuse prevention often come too late in the process, leading to costly corrections and provider friction.
Codoxo’s generative AI in healthcare solutions enable healthcare payers to transform their approach to cost containment in healthcare. By combining early intervention capabilities with comprehensive payment integrity solutions, our platform helps healthcare payers prevent issues before they impact the bottom line while maximizing recoveries when needed.
Built on our Unified Cost Containment Platform, we deliver measurable results for healthcare payers through:
- Early provider education & engagement
- AI-powered payment accuracy validation
- Cost avoidance & savings
- Proactive fraud, waste, & abuse detection & prevention
- Comprehensive payment integrity automation
Benefits for Healthcare Payers Working with Codoxo:
Transform provider relationships
Through proactive education and issue prevention before claims submission
Reduce operational costs
By automating payment integrity processes and preventing downstream rework
Improve payment accuracy
Through automated validation and early intervention capabilities
Prevent revenue leakage
With AI-powered detection of potential fraud, waste, and abuse before payment
Scale cost containment
Across your entire claims volume without adding administrative burden
Strengthen network performance
By helping providers maintain high clean claims rates
Accelerate savings capture
Through comprehensive pre- and postpayment optimization
Smarter Healthcare Cost Containment Starts With Codoxo
Codoxo’s products, services, and solutions are delivered through our Unified Cost Containment Platform, empowering healthcare organizations to take a seismic shift left by ensuring faster, more accurate claim payments, reduced fraud, waste, and abuse, and enhanced operational efficiency. By transforming the landscape of healthcare cost containment and payment integrity with industry-leading AI, Codoxo is at the forefront of making healthcare more affordable and effective.
