PRESS RELEASE
FOR IMMEDIATE RELEASE: September 28, 2023
Kansas City, MO – Naviquis, a pioneering company in the healthcare payment integrity industry, is thrilled to announce its official launch. Naviquis is dedicated to transforming healthcare payment integrity through its innovative solutions designed to enhance efficiency, accuracy, and communication with providers.
In today's complex healthcare landscape, payment integrity processes pose significant challenges for payers and providers alike. Naviquis recognizes the urgent need to address these challenges head-on and has developed a comprehensive, streamlined solution to meet these demands.
Naviquis’ solution empowers payer organizations by leveraging state-of-the-art artificial intelligence (AI), machine learning (ML), and advanced data analytics. Naviquis revolutionizes the way payments are handled between payer and provider.
Key offerings from Naviquis include:
Naviquis Payment Integrity Solution:
This one-of-a-kind FWA management solution enables healthcare payers to finally make a huge impact on fraud, waste, and abuse (FWA) by moving from a “pay and chase” and “manual review” model to an automated “detect and prevent” model. The solution includes real-time FWA detection systems for medical and/or dental claims, and a Provider Relationship Management (PRM) Platform for communication between your health plan and your providers.
Medical and Dental Claims:
The Naviquis solution identifies potential FWA before a medical and/or dental claim is paid, while analyzing data needed to prevent FWA. This increases your overall efficiency, lowers costs, and results in satisfied clients and members.
Provider Relationship Management Platform (PRM):
The PRM provides full transparency to the providers and reduces abrasion and administrative costs. This fully automated, real-time communications and tracking system capitalizes on cognitive bias of provider’s judgement when deviating from what would be considered desirable accepted norms.
"We are proud to introduce Naviquis as a leader in payment integrity solutions,” said Michel Heitstuman, COO of Naviquis. "Our company is committed to driving transformative change in the industry by delivering innovative technologies that optimize payment integrity processes, combat fraud, and enhance provider communications. Naviquis is poised to revolutionize healthcare payment integrity and contribute to improved financial health and better provider outcomes."
Naviquis invites payers and third-party administrators (TPAs) to discover the full range of its solutions and experience the benefits of its transformative impact on healthcare payment integrity.
For more information about Naviquis and its innovative payment integrity solution, please visit www.naviquis.com.
About Naviquis:
Naviquis utilizes a combination of algorithms, expert systems, computable biomedical knowledge, artificial intelligence (AI), and machine learning (ML) to provide an almost real-time healthcare fraud, waste, and abuse (FWA) automated detection and prevention solution. Our secure solution helps identify suspicious and/or inappropriately coded claims before they are paid. We also provide communications, alerts, credentialing support, and educational notes to providers via the Naviquis Provider Relationship Management System (PRMS). Naviquis: Navigating Payment Integrity.
Contact Information:
Name: Sam Willis
Organization: Naviquis
Address: 2205 Point Boulevard, Ste 160, Elgin, IL 60123
Phone: (847)-649-5100
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