Reducing fraud, waste & abuse in healthcare claims pre-or-post-payment with comprehensive analytics.
CGI ProperPay is a medical claim analytics solution enabling healthcare payers to easily and securely identify, predict and prevent improper payments of inpatient, outpatient and professional claims.
Advanced algorithms are used to identify hidden patterns and anomalies within a payer’s entire claims universe to indicate which incoming claims should be suspended or rejected from payment to a provider, and which paid claims have high potential for recovery.
