CGI ProperPay provides predictive analytics, workflow management, rules management and global best practices. The solution is configurable to an organization’s specific business rules and reimbursement methodologies. CGI also provides expert audit services covering all provider types, focusing on payment issues with a high rate of error and that yield a return on investment.
Specialized healthcare professionals with 25+ years of experience in analyzing and auditing medical claims data
Recovery of $3 billion in improper medical claims for government and commercial payers
Performance of reviews and audits on behalf of commercial payers throughout the U.S.
Breadth and depth of knowledge of a variety of payment methodologies, state and federal regulations and medical policies and contracts unique to each payer
Proven claims audit and recovery services that have been used to audit approximately 30 million covered lives by payers ranging in size from 60,000 to 9 million members