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To counter fraud, waste and abuse in the healthcare industry, the TriZetto Plan Data Management division, in partnership with IBM and Dun & Bradstreet, offers healthcare payers comprehensive Fraud, Waste and Abuse (FWA) solutions.
TriZetto Plan Data Management solutions help health plans detect fraudulent, abusive and wasteful practices, recover monies and prevent FWA. TriZetto Plan Data Management solutions also help ensure that health plans pay only valid claims.
TriZetto Plan Data Management FWA solutions include:
Benefits
- Helps health plans identify and stop inappropriate practices and recover funds
- Satisfies employer-group expectations and helps meet state and federal regulations
- Strengthens provider relations by minimizing false positives
- Enables plans to avoid developing/purchasing and maintaining costly analytical systems with which to identify suspect providers, schemes and other concerns
- Educates providers regarding compliance and self-review
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Information
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For more detailed information, please call 1-800-569-1222 or click on the link below.
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