By providing decision support and links between analytic methods, Ingenix helps you arrive at consistent answers, deeper insight, and more effective cost control initiatives. Health plans can improve health by targeting the right members at the right time with the right interventions across the entire health continuum.

Achieve a consistent and reliable claims review process with claim adjudication, compliance, and reimbursement products from Ingenix.

Enable prospective claims analysis and retrospective investigation and recovery by detecting and deterring fraudulent, erroneous, and abusive claims.

Ingenix provides end-to-end support to Medicare Advantage organizations for the complete revenue lifecycle. Our extensive risk adjustment knowledge allows us to identify and implement the comprehensive processes and innovative mechanisms that can result in maximum appropriate reimbursement from Medicare. And we can impart critical knowledge to your staff.

Drive better consumer financial and medical decisions with innovative tools and services.

Ingenix delivers measurable savings today with the next generation of out-sourced or self-managed electronic data interchange solutions. By implementing our solutions, payers benefit from accelerated revenue cycles; reduced costs and errors; simplified connectivity with all your trading partners; optimized administrative and clinical transaction management; and improved compliance assurance.

Ingenix products included in this category help you measure, analyze, and control health care costs while increasing the quality of care provided to your members.

Take a truly sophisticated approach to building your provider network—while improving quality and reducing costs. We offer intelligent technology and advanced strategic techniques that help you optimize your network’s efficiency and competitiveness.

Ingenix offers a range of solutions designed to facilitate and streamline the day-to-day workflow of underwriters and actuaries

Reduce your pharmacy cost and trend, maintain appropriate utilization, and improve outcomes through benefit design strategies.