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Revenue cycle management

Medical Claims and Reimbursement Management Solutions

We offer full-service claims and reimbursement management solutions to help improve claims accuracy and prevent claim errors, minimizing denials and boosting reimbursement.

Proactive claims management

Healthcare organizations face increasing challenges with coding and billing processes — on top of ongoing workforce strains and financial hardship. The cost of denials alone makes up an estimated 20% of revenue cycle expenses.

Optum claims solutions help you tackle barriers to improve cash flow by automatically flagging claims for inaccurate coding and billing documentation prior to payer submission. On average, we help clients achieve a 23:1 return on investment.

Our team of claims management experts understand payer rules and regulatory guidelines to help you sustain performance, efficiency and accuracy. 

Explore medical claims and reimbursement management solutions

A/R Recovery and Denial Management

Our A/R recovery and denial management solutions optimize your RCM workflow.

Assurance Reimbursement Management

Effectively automate your workflows to help prevent denials and facilitate fast reimbursement.

Business Office Performance Services

A customizable revenue cycle management solution for providers that want to access expert resources and technology.

Claims Manager

Prevent claim errors to minimize denials and boost reimbursement.

Credit Balance

A no-cost service to identify, research and resolve credit accounts.

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A/R recovery services provide continuity

Provider maintains A/R revenue continuity during HIS conversion.

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Optum wins 2023 enabling technology leadership award

Optum won the 2023 North American Enabling Technology Leadership Award. 

White paper

Filling revenue cycle resource shortfalls

Learn how to identify and overcome common revenue cycle challenges despite current labor market issues.