• Payment and Program Integrity

    HMS IntegritySource—our integrated suite of program integrity solutions—creates measurable value at every point in the payment cycle for healthcare payers.

  • Coordination
    of Benefits

    HMS’s proven data mining techniques help locate valid other coverage for plan beneficiaries to assist payers in accurately coordinating payments and pursuing recoveries where claims were paid inappropriately.

  • Eligibility

    Whether it’s dependent eligibility verification audits for employers or enhanced eligibility verification for state Medicaid agencies, HMS can help reduce costs and find overpayments.