Identifying coding and billing errors is a daunting task. Health plans often lack the resources to effectively review every claim in a timely manner—which means payments are processed without thorough scrutiny of claim details, contributing to unnecessary overpayments. Moving to a prepayment model will reduce overpayments, provider abrasion, and downstream administrative waste and cost.

Apixio’s tech-enabled, configurable Itemized Bill Review (IBR) solutions and services empower health plans to audit complex itemized bills in less than 15 minutes so they can handle a higher volume of claims in a fraction of the time—without compromising accuracy.