Verisk Health Payment Accuracy Division
Our solutions help private and public payers of all types, pay right and save money. Core to these solutions is our real-time rules engine, which processes and validates claims in sub-second time. Created within the engine are our Claims Editing and Fraud Prevention solutions, which edit and flag suspect claims, before delivering them to clinical experts for validation. Our software platform, Nucleus, delivers a user experience through a SaaS model that accelerates productivity through leadership-level reports, a customizable interface and dynamic fraud scoring models. At Verisk Health, our solutions do more than just improve accuracy, they improve savings.
"Verisk Health has prevented the payment of
over $5 million in inappropriate charges"
- Michael De Chellis, Operating Engineers Trust Funds Inc.