Provider Scope

Provider Scope helps healthcare payers, agencies and PBMs bring down costs pre-claim with unique provider and facility insights.

Provider Scope compares each providers’ claims and coding practices to their peers, identifies outlier behavior, and proactively engages providers to improve claim integrity and bring down pre-claim costs with a provider self-monitoring and communication portal. Provider Scope allows payers and healthcare companies to efficiently reduce coding errors and influence healthcare costs prior to submission of claims while decreasing provider abrasion.

Provider Scope is part of Codoxo’s offerings of AI-based cost containment solutions that deliver unified cost containment across the entire payment spectrum.