August 17, 2022 –U.S. healthcare payers are on a quest to optimize their claims processing and payment operations. Improving the quality of claims data that healthcare payers receive from providers and smoothing out wrinkles in substantiating claims is part of that quest as well. Payment integrity tools play an important role in these initiatives.

Leveraging the Aite Matrix, a proprietary Aite-Novarica Group vendor assessment framework, this Impact Report evaluates the overall competitive position of six vendors, focusing on vendor stability, client strength, product features, and client services. This report profiles Change Healthcare, Codoxo, Cotiviti, EXL, OptumInsight, and SAS Institute.

This 83-page Impact Report contains 17 figures and 23 tables. Clients of Aite-Novarica Group’s Healthcare Payments service can download this report and the corresponding charts.

This report mentions CGI Technologies & Solutions, ClarisHealth, Gainwell Technologies, Healthcare Fraud Shield (HFS), Mastercard Healthcare Solutions, Shift Technologies, and Zelis.