Payment Integrity

Payment integrity refers to the processes and measures taken to ensure that payments—especially in healthcare, insurance, and finance—are accurate, legitimate, and compliant with regulations. It involves verifying that claims made are valid, services billed were actually provided, and payments align with agreed-upon terms. By ensuring payment integrity, organizations can reduce fraud, waste, and abuse, ultimately leading to cost savings and better resource allocation. This practice helps maintain trust in financial systems and ensures that funds are used appropriately and efficiently.