Despite the best efforts, Health plans leave money on the table when it comes to Payment Integrity.

Despite significant efforts, health plans continue to lose millions of dollars to expired claims. Valid overpayments often languish in recovery and offset status, ultimately expiring due to resource limitations or a lack of focused attention. Your invaluable Payment Integrity (PI) team members may find themselves dedicating time to tasks that, while essential, do not fully utilize their expertise or potential.

ClaimShark can help with volume and velocity of your savings. Our technology and tools along with your expertise can increase and accelerate your payment integrity savings. Elaborated below are some of our services to help with your Payment Integrity challenges