04/23/2026
Most health plans talk about post-pay recovery when they talk about payment integrity.
But the real question many leaders are asking right now is:
What if the claim never paid in the first place?
In this LinkedIn Live discussion, the team at Advize Health will explore the growing role of pre-pay review in Payment Integrity and SIU programs — and why more plans are rethinking where they place controls in the claim lifecycle.
This will not be a sales pitch. It will be a practical conversation about what works, what doesn’t, and where organizations are seeing real value.
We’ll discuss:
• Why pre-pay strategies can reduce downstream investigation costs and administrative burden
• Real-world examples of fraud, waste, and abuse findings identified before payment
• The operational differences between pre-pay and post-pay investigations (and why they are more complex than most people expect)
• How health plans are balancing member access, provider abrasion, and program ROI
• What organizations should consider when deciding where pre-pay fits into their broader SIU and Payment Integrity strategy
Pre-pay review can absolutely be done — and when implemented thoughtfully, the value often far outweighs the cost.
Join us for a candid discussion as we share lessons from the field, examples of real investigations, and the operational realities behind effective pre-pay programs.
This session is designed to share perspective and spark conversation. If you have questions about your own program, we’re always happy to continue the discussion after the event.
Because sometimes the best recovery strategy…
is never paying the wrong claim in the first place.
