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Highmark Inc. extends partnership with CGI to enhance and strengthen claim payment programs and drive innovation
Prnewswire· 2025-12-02 13:00
Core Insights - CGI has renewed and expanded its partnership with Highmark Inc., focusing on enhancing payment integrity through the CGI ProperPay platform, which has been in place for over a decade [1][2][3] Partnership Details - The new contract includes enhanced data analytics and recovery audit capabilities to support Highmark's claims review initiatives, resulting in year-over-year improvements in recoveries and a 98% uphold rate on audit findings [2][3] - Highmark has reported measurable increases in average savings per review on inpatient claims while maintaining operational efficiency and strengthening provider relationships due to the partnership with CGI [3] Technological Advancements - CGI's ProperPay platform utilizes predictive modeling and case selection optimization to improve audit capabilities, contributing to the overall success of Highmark's payment accuracy efforts [3] - CGI is exploring the introduction of new AI-powered capabilities to further enhance outcomes and automate high-volume review workflows [4] Company Overview - CGI is one of the largest independent technology and professional services firms globally, with reported revenue of CA$15.91 billion for fiscal 2025 and a workforce of 94,000 professionals [4]