An integrated care management platform ensures all stakeholders have the holistic view they need to deliver whole person care. Learn how to equip your care team to deliver positive outcomes.
Read Article
Read Article
Gainwell's pre-payment solutions are comprehensive, compliant & configurable. See how we can help your organization minimize abrasion, alleviate administrative burden, and reduce claim spend.
Read Flipbook
Our residency verification solution prevents future erroneous payments through the identification of non-residents. Learn how.
Read Flipbook
Identify improper payments before a claim is paid, and avoid payment errors related to DRG coding and validation, readmissions, level of care, medical pharmacy and more.
Read Flipbook
Our COB Pre-payment Solutions offer comprehensive, CMS-certified and configurable features to advance your data management. Reduce administrative burden and proactively avoid cost.
Read Flipbook
Gainwell's COB On-demand Technology allows you to move your cost avoidance upstream. Learn how this feature pairs with our CAV Match and Delivery offering to help your organization avoid cost.
Read Flipbook
Our Self-service Portal allows clients 24/7 access to a user interface where they can submit ad-hoc verification requests, returning verified results to the user within 48 hours. Learn more.
Read Flipbook
Our Performance Analytics feature equips clients with transparency into the health of their TPL data by delivering metrics & reports, ensuring data-driven actions are taken for continuous improvement.
Read Flipbook
Our CAV Match & Delivery offering identifies members' existing other coverage, so healthcare organizations can proactively avoid cost, reduce administrative burden & alleviate provider abrasion.
Read Flipbook
Our call center representatives can verify COB information on the spot and provide near real-time results, ensuring providers can coordinate benefits effectively and members have access to care.
Read Flipbook
Our COB Revalidation feature works seamlessly with a CAV deliverable to revalidate TPL segments every six months, ensuring a client's OHI files are as up-to-date as possible. Avoid cost proactively.
Read Flipbook
Read Flipbook
Our CAV Match & Delivery offering identifies, verifies, and communicates members' existing other coverage so plans can proactively avoid cost, reduce administrative burden & reduce provider abrasion.
Read Flipbook
The time period following enrollment is a high utilization period for new recipients. Our solution identifies other coverage at the point of enrollment to move cost avoidance upstream.
Read Flipbook
Read Flipbook
Our call center representatives can verify COB information on the spot & provide near real-time results, ensuring providers can coordinate benefits effectively & that members have the care they need.
Read Flipbook
Our COB Revaidation solution ensures the quality and accuracy of COB data even after delivery, eliminating stale COB information and reducing the risk of provider abrasion.
Read Flipbook
We offer a comprehensive, compliant and configurable solution to advance your COB management. Learn how your organization can achieve proactive cost avoidance today.
Read Flipbook
We offer SEHP a pre-pay clinical claim review solution that identifies improper payments before a claim is paid. See how you can identify improper claims sooner and save time, money and effort.
Read Flipbook
Loading More...
