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Credit Balance resolution services for health plans

Identify, research and resolve overpaid claims.

Man on computer in office

Resolve credit balances and recover claim overpayments

Health plans are facing many challenges when it comes to identifying and recovering claim overpayments, including:

  • Lack of resources
  • Rising costs
  • Rapidly changing mandates
  • High payment volume

Optum® Credit Balance resolution and recovery services help health plans research and resolve unsolicited and solicited overpaid claims. We help maximize your overpayment recoveries across all lines of business, reducing recovery time, administrative costs and medical expenses.

Maximize savings through claim overpayment recovery

Working as an extension of the provider office, we identify, research and resolve credit balances on behalf of our health plan clients.

Improve the recovery process

Our expert-led, technology-driven process reduces recovery turnaround time while maximizing your administrative and medical expense savings.

Strengthen provider relationships

Our team collaborates with more than 1,500 providers every day to research and resolve overpaid claims, minimizing provider abrasion.

Prevent future claim overpayments

With advanced analytics, we identify issues and ongoing errors causing claim overpayments, providing opportunities to prevent them in the future.

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Unlock additional savings with our Credit Balance resolution services

With more than 25 years of credit balance experience and a large, nationwide network of providers, we combine leading-edge technology with human expertise to help health plans resolve credit balances and maximize overpayment recovery. Our results:

  • More than $15 billion in Credit Balance recoveries over the last 20 years
  • 1,500 providers in our Credit Balance network
  • 98% Credit Balance client retention rate

Identify and resolve overpaid claims with Optum Credit Balance resolution services