Solutions for integrated program integrity management
CGI has developed a comprehensive package of solutions in our Protect the Payer (PTP) Suite to address program integrity holistically throughout the payer enterprise. Collectively, these solutions leverage cognitive analytics for a highly targeted approach to transaction screening, provider due diligence, preventing fraud and waste, and strengthening cybersecurity.
CGI’s Protect the Payer Suite provides market-leading solutions and services to support the payer, including:
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Cybersecurity consulting, solution implementation and managed services
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Transactions screening and provider due diligence through our HotScan filtering software
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Claims fraud, waste and abuse prevention and recovery with CGI ProperPay
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Cognitive analytics/machine learning to produce more reliable, repeatable results
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Big data management and analytics
CGI’s PTP Suite can involve engagements in program management, systems integration, solution implementation, managed services and/or business process outsourcing. But before we begin any PTP engagement, we perform a current state assessment to determine which components of the framework can be applied to quickly deliver benefits to protect the payer.
