High-impact fraud prevention solution in a secure, standards-compliant environment utilizing Microsoft Azure Cloud
Fairfax, VA (Nov. 7, 2016) – CGI today announced the availability of CGI ProperPay© in the Microsoft Azure cloud. CGI ProperPay© is an end-to-end solution designed to combat the waste, fraud and abuse associated with healthcare claims. The new agreement delivers these capabilities in a highly secure cloud environment compliant with leading international and industry-specific standards, including ISO 27001, HIPAA and FedRAMP.
CGI ProperPay© helps organizations predict hidden patterns and anomalies within their claims data, uses analytics to prevent fraudulent activity and keep patients safer; delivers the security to protect health information, and utilizes technology to identify, stop and recover improper payments to preserve healthcare funds and revenue. The solution dramatically reduces the likelihood of losses due to insurance claim fraud, waste and abuse. In the past 5 years alone, CGI government and commercial clients have recovered more than US$2.1 billion of improperly paid medical and pharmacy claims.
“CGI has been combating fraud in the healthcare market for more than 25 years. Our end-to-end CGI ProperPay© solution predicts, identifies, manages and recovers medical and pharmacy claims that have been paid inappropriately,” said CGI Vice President Rob Rolf. “We offer ProperPay© in the secure cloud to help payers to recover lost money in order to preserve funds, be more competitive with pricing and products, retain members, comply with new requirements, and even improve patient care coverage.”
CGI ProperPay© delivers significant benefits to health insurers globally. The offering is configurable to an organization’s specific business rules and reimbursement methodologies; and its predictive analytics, workflow, and rules management now available in the secure Microsoft Azure cloud deliver even greater elasticity and power. CGI helps insurers make swift progress on their transformation in the digital economy.
“By leveraging the Microsoft Cortana Intelligence Suite, including machine learning and analytics, CGI ProperPay will help transform the recovery of lost payments due to improper claims,” said Neil Jordan, General Manager of Worldwide Health, Microsoft Corp. “The Microsoft Azure cloud provides industry-leading security measures and privacy policies, enabling CGI ProperPay to meet rigorous compliance standards and requirements with sensitive patient claim data.”
Founded in 1976, CGI Group Inc. (NYSE: GIB) (TSX: GIB.A) is the fifth largest independent information technology and business process services firm in the world. Approximately 65,000 professionals serve thousands of global clients from offices and delivery centers across the Americas, Europe and Asia Pacific, leveraging a comprehensive portfolio of services, including high-end business and IT consulting, systems integration, application development and maintenance and infrastructure management, as well as 150 IP-based services and solutions. With annual revenue in excess of C$10 billion and an order backlog exceeding C$20 billion, CGI shares are listed on the TSX (GIB.A) and the NYSE (GIB). For more information, visit www.cgi.com.
Source: CGI Group Inc.