Payment integrity – a conundrum in health plan administration. With over 20 years’ experience, we’re keenly aware of how difficult this goal is to visualize, let alone achieve. At the foundation of claims processing are a host of systems, applications, people and services which drive payment. These underlying factors change daily as new products, pricing arrangements, systems, benefits and regulatory requirements are introduced. How one change may impact all the inter-related systems and functions and downstream payment issuance is more like a game of whack-a-mole to oversee.