Home Language Site map
 


HEALTHCARE

Solutions

   
 

Solutions for commercial healthcare payers

Healthcare payers are challenged to hold down costs while meeting demands for high quality care. CGI understands these challenges. We have worked with BlueCross BlueShield plans, managed care organizations, commercial health insurance companies, state Medicaid agencies and the Medicare program to deliver solutions that lower costs and enhance productivity while helping to focus on what matters most—providing high quality care.

From proprietary software to consulting, application and outsourcing services, our seasoned team of reimbursement, clinical, financial, IT and coding experts customizes our solutions to meet your requirements. CGI helps payers achieve the following benefits:

  • Control costs
  • Solve complex challenges
  • Maintain compliance
  • Ensure the integrity and accuracy of medical and pharmacy claims
  • Prevent claims overpayments
  • Recover overpaid claims due to billing errors
  • Make appropriate reimbursements
  • Protect provider relationships
  • Detect and investigate fraudulent claims

Solutions to reduce medical costs for healthcare payers

Customized Audit System (CAS 5.0) (PDF) – An enterprise-wide solution that helps you efficiently predict, identify, manage and analyze your medical and pharmacy claims.

Reimbursement Consulting – Comprehensive payment methodology consulting and proprietary software to manage inpatient, outpatient and professionals' reimbursements

Software and services

Also see

For more information about CGI's solutions for commercial healthcare payers, please contact us at healthcare.bps.hgov@cgi.com.

 
© CGI Group Inc. Legal restrictions and terms of use applicable to this site. Privacy.