Process/Technology

Our healthcare auditors use a proven audit process to identify and recover improper payments others might miss.

Every health insurer is unique, which is why each Connolly Healthcare audit team is dedicated to only one client. This allows us to customize the audit based on our clients’ preferred needs and objectives. This flexible approach empowers Connolly to maximize recovery opportunities while maintaining positive provider relationships.

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Our custom technology solutions help us find the missing pieces.

Our advanced data mining tools and techniques are the key to delivering market-leading results for our clients.  We mine not only structured data such as payments but also unstructured data such as medical charts.  Our business analysts' experience in developing algorithms combined with our auditors' deep industry expertise help us catch the greatest amount of errors possible - a collaboration enhanced by the fact that Connolly's personnel are co-located in the same geography and often on-site with our clients.

Technology is integral to our audit process - it's the enabler that delivers the best results for our clients.  We fulfill your dynamic requirements with dedicated technical personnel.

Over the past 30 years, we have built the capabilities and capacity to serve the world's largest companies and organizations.  We can securely handle any amount of data from any possible platform.  Our state of the art automated security system removes human error from the equation, providing the level of protection you need and expect.

Testimonial

“I wish my internal team had sophisticated tools like Connolly. It makes all the difference.”

VP, Vendor Management
Large Health Plan


 
Knowledge Sharing Builds Expertise
We actively share best practices among audit teams and learn from industry experts to improve our skills and processes across the organization. 
The result – market leading expertise you can rely on to go deep to identify overpayments, recover you more dollars, and help eliminate errors.