Skip to main content

Revenue cycle management

Medical Claims and Reimbursement Management Solutions

We offer full-service claims and reimbursement management solutions to help improve claims accuracy and prevent claim errors, minimizing denials and boosting reimbursement.

Proactive claims management

Healthcare organizations face increasing challenges with coding and billing processes — on top of ongoing workforce strains and financial hardship. The cost of denials alone makes up an estimated 20% of revenue cycle expenses.

Optum claims solutions help you tackle barriers to improve cash flow by automatically flagging claims for inaccurate coding and billing documentation prior to payer submission. On average, we help clients achieve a 23:1 return on investment.

Our team of claims management experts understand payer rules and regulatory guidelines to help you sustain performance, efficiency and accuracy. 

Explore medical claims and reimbursement management solutions

A/R Recovery and Denial Management

Our A/R recovery and denial management solutions optimize your RCM workflow.

Assurance Reimbursement Management

Effectively automate your workflows to help prevent denials and facilitate fast reimbursement.

Business Office Performance Services

A customizable revenue cycle management solution for providers that want to access expert resources and technology.

Claims Manager

Prevent claim errors to minimize denials and boost reimbursement.

Credit Balance

A no-cost service to identify, research and resolve credit accounts.

Related healthcare insights

E-book

Five priorities improve financial performance

This E-book will help you master five fundamentals for a sound financial future.

White paper

Five things your denial rate isn't telling you

Learn 5 ways to make changes that will prevent and remediate denied claims.

White paper

Establish renewed priority on revenue loss

In volume 2 of this white paper, discover 3 strategies to improve revenue performance from proper levels of reimbursement to writing off bad debt and expanding into new service areas.