Payment Integrity Record Retrieval Solutions Comparison

Comparing apples to oranges

PLAN BENEFITS RECORD RETRIEVAL FUNCTIONS INSOURCE OUTSOURCE PORTAL REQUEST TECHNOLOGY AUTOMATED TECHNOLOGY Plan sends remote retrieval requests fulfilled by provider Plan performs on-site retrieval requests Plan sends remote retrieval requests fulfilled by provider Plan performs on-site retrieval requests Technology vendor sends on-demand requests via portal CAVO Connect uses FHIR calls to extract records Automate record […]