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:
-
Cybersecurity consulting, solution implementation and managed services
-
Transactions screening and provider due diligence through our HotScan filtering software
-
Claims fraud, waste and abuse prevention and recovery with CGI ProperPay
-
Cognitive analytics/machine learning to produce more reliable, repeatable results
-
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.
