Post-Pay Claims Review Services
Post-pay review that improves accuracy and compliance.
Sagility combines tech-led audit workflows and experienced payment integrity specialists to help health plans identify overpayments and continuously improve payment accuracy after claims are paid.
Overview
As part of Sagility’s Payment Integrity Suite, our Post-Pay Claims Review Services help health plans identify potential overpayments after claims are paid. Analytics-driven targeting and expert reviews validate claims against contract terms, clinical policies, and coding standards, delivering defensible findings that support accurate, compliant payment outcomes.
Retrospective Audit Services
- Identify overpayments and recovery opportunities
- Validate clinical, coding, and contract compliance
- Prioritize audits using analytics-driven targeting
Decades of Partnership, Performance, and Progress.
Clients stay with Sagility for a reason: deep-domain expertise, measurable outcomes, and a true partnership approach. Purpose-built for healthcare and trusted by the nation’s top health plans and providers, we bring decades of experience and a proven ability to simplify operations and deliver lasting impact.
Straight from the Source
We’re more than a vendor, we’re a partner. Here’s what our clients have to say:
Sagility invests time to understand our business and develops innovative solutions that would not be possible without their deep operational knowledge.
Payment Integrity Lead,
National Health Plan
They are technology-enabled but prioritize business and partner outcomes above all else. It is not about promoting tools for their own sake — Sagility thoughtfully applies a broad range of capabilities to deliver solutions that drive measurable results. They truly put the client first.
Executive Director, Business Operations,
Healthcare Financial Services Company
The implementation was seamless, and their support team is outstanding. We’ve achieved 98% accuracy in claims processing and reduced our days in A/R from 45 to 28. Their technology is truly game-changing for healthcare providers.
Revenue Cycle Director,
Multi-specialty physician group
Case Studies
See how we’ve helped payers unlock millions in savings and streamline operations:
Insights & Resources
Stay informed with the latest thinking on healthcare payer operations:
Ready to Work Smarter with Sagility?
Let’s explore innovative solutions tailored to your needs—and get more done, together.