Conduent Payment Integrity Solutions FAQ - (800) 442-2075
What is Conduent Payment Integrity Solutions?
We are Conduent Payment Integrity Solutions. We work on behalf of health insurance plans to review medical claims and
gather information. We assist those health plans in trying to identify if there is also someone else
financially responsible for medical services provided to their members.
Why did Conduent contact you?
We provide Subrogation and Payment Integrity Solutions to health plans. Your health insurance plan has contracted Conduent
to review medical claims to help them identify if another party might be financially responsible for the medical treatment.
Why does Conduent need information from you?
Your health insurance plan contracts with Conduent to assist them in identifying situations where another party may
also have financial responsibility for medical treatment received by their members. The information is necessary
in order to ensure that the appropriate entity is notified of your health insurance plan’s interest.
I no longer have this insurance, do I still need to respond?
YES.
Your health insurance plan has contracted with Conduent to assist them in reviewing treatment to determine whether
or not there may be additional financially responsible parties. We are researching both previous and current
members. This is to ensure that they had the correct information during the time that your policy was effective.
I already gave this information to my health plan, why don't they share it with Conduent?
We are tasked with identifying situations where another party may also have financial responsibility for
medical treatment received by their members but we don’t have direct access to their systems. Files are
forwarded to us with limited information. We are reviewing to identify situations where another entity
might be financially responsible. This helps to ensure that the health plan is reimbursed when another
entity is financially responsible, making health insurance more affordable for all plan members.
How do I know Conduent is really contracted by my health plan?
Please feel free to dial the Customer Service phone number located on the back of your health insurance
card, and verify the affiliation between Conduent Payment Integrity Solutions and your health plan.
What is the next step?
The review will only take a few minutes to complete. Please have the ID number that was left for you
ready, and call us back at (800) 442-2075. Member Services representatives are available to take your
call Monday through Friday 8:00 AM to 6:00 PM (Central Time).
