Major Payer Recovers Over $300 Million in Lost Claims with Gaine's Claims Data Transformation

In this presentation from the recent VIVE digital health conference, James Godwin and Raj Shah highlight how Gaine’s Coperor Health Data Management Platform (HDMP) helped a leading health plan recover $300 million in unreconciled claims. The organization faced significant challenges due to fragmented data spread across over 20 systems, which led to delayed payments, increased administrative costs, and strained provider relationships. These issues not only impacted financial performance but also created inefficiencies and mistrust in their claims processes.

Gaine’s solution unified the health plan’s data into a single platform, enabling real-time insights and streamlined workflows. By addressing data discrepancies proactively, the platform reduced denials, improved provider collaboration, and restored trust across the network. Watch the video to learn how Gaine’s approach to claims data management can help you resolve inefficiencies, optimize payments, and strengthen provider relationships.