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  • Provider Compendium
    Oct. 07, 2026

    Pre-payment integrity is gaining momentum as health plans look to shift left with payment accuracy activities, moving from retrospective recovery toward earlier intervention before claims are paid. Rising medical costs, provider abrasion from post-pay recoveries, and…
  • Viewpoint
    Aug. 28, 2026

    Pre-payment integrity is becoming a strategic priority for health plans, but adoption has progressed more slowly than expected. Most payers already have the core capabilities required to intervene before payment. These include claims-editing tools, clinical and…
  • Viewpoint
    June 12, 2026

    Improper payments remain a persistent challenge for health plans despite sustained investment in payment integrity. Many payer organizations still manage pre-pay and post-pay activities as separate functions, limiting their ability to convert recovery insights into earlier…