Physician Underpayment Detection

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The technology to help you prioritize–and resolve–physician underpayments.

Payers aren’t paying their contracted rates. Providers know they’re being underpaid, but they don’t know how and why. High claim volumes and relatively lower payment amounts cause underpayments to drop down the priority list.

Our solution, underpinned by our proprietary technology, achieves the scale needed to automatically identify underpayment and undercharging so you get paid what you’re owed.

See the results that matter:

  • Recover lost revenue, faster
  • Protect future earnings
  • Reduce manual effort

CASE STUDY

Discover how Knowtion’s solution automatically detects underpayments.

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The Challenge

Physician underpayments are often overlooked due to high claim volumes and lower payment amounts compared to hospital claims. Hospitals need technology and automation to scale physician underpayment resolutions.

The Solution

Knowtion’s platform can handle an immense volume of claims, automatically identifying underpayment and undercharging patterns to prevent revenue loss.

 

It’s scalable, efficient, and frees your teams up to work on other critical tasks. Our expert team and technology can also build out contracts in the EHR with accurate details.

Results

Our physician underpayment and undercharging investigations have totaled:

7.35M Claims worked

83,000 Aetna claims found without rate adjustments

$676K average settlement per claim

$8.16 average settlement per claim

Why do leading health systems choose Knowtion Health?

Our team of experienced physician underpayment experts partners with you to ensure a smooth and efficient revenue recovery process.

 

Discover the Knowtion difference.

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Avoid tedious work with scalable technology to recover lost revenue.

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