Paytegrity PayRight ℠ Solutions is a healthcare technology company specializing in Payment Integrity Solutions through data driven analytics, Machine Learning & AI.

About Us / Why Us?

  • The Paytegrity team has a record for driving improved performance in Payment integrity.
  • Paytegrity offers significant opportunities to increase operational efficiencies.
  • Paytegrity uses a well-refined approach to detect areas of risk.
  • Predictive Detection, Claims Recovery, Prepayment & Post Payment Chart Reviews.
  • Lean, efficient, and highly scalable platform as an alternative or add-on service.

Our goal is to help plans PayRight℠

  • Nationally, nearly 7-8 claims out of 100 are paid incorrectly, representing $32b in errors.
  • Our expansive library of Algorithms mitigate risk with steady, incremental improvements in
      • identifications,
      • cost avoidance &
      • recoveries
  • Robust, comprehensive oversight with high hit rates and low false positives
Peggy Barber

Peggy Barber

Founder
Peggy is an accomplished executive leader with over 15 years expertise in Payment Integrity and healthcare operations. Peggy has managed client relations for 80+ health plans, led over 200 implementations, and strategic initiatives to include acquisition and integration. Peggy provides strategic oversight and direction for the organization's solutions. Through innovation and continuous improvement, Peggy's teams have identified over $850m across Inpatient, Outpatient, DME, Home Health solutions to include Hospital Bill Audits, Itemized Bill Review, Short Stay Medical Necessity, Readmissions, DRG coding validations, Home Health Per Visit/OASIS, SNF/RUG, APC etc. Peggy's prior experience includes roles at BCBSFL, Humana, Express Scripts, SCIO Health Analytics, Discovery, Health Partners, American Express and the Bank of NY Corporate Trust. Peggy holds a Master's Degree in Organizational Management.
Jacob Mani

Jacob Mani

Advising CFO
Jacob is a finance professional with over 25 years of financial management experience in multinational corporations – public and private, and Big 4 accounting firms. In his last role, Jacob was the CFO for over 10 years of SCIO Health Analytics, a Sequoia backed Healthcare Technology Analytics company, from its early start-up days till sale to EXL Services (NASDAQ – EXLS). At EXLS, Jacob managed the FP&A function for the ~$250 million Healthcare division as its VP Finance and member of its Healthcare Executive Leadership team. Over the years, Jacob has also been involved in closing and integrating more than 10 acquisitions in US, UK, India and China, and managed finance, legal and procurement teams across US, UK and India. Jacob is a Chartered Accountant from the Institute of Chartered Accountants of India. Jacob in his CFO and Board advisory role at Paytegrity will be advising on its overall growth and financial strategy.
Dennis VonBurg

Dennis VonBurg

Director Cloud/Cybersecurity Engineering
Dennis VonBurg brings over a decade of experience in cloud technologies and cybersecurity to our team. With a robust background in Federal, Public and Private sectors, Dennis has demonstrated expertise in architecting, implementing, and supporting complex cloud and cybersecurity solutions for Veterans Administration Healthcare, Banking and Financial, Retail eCommerce, and Technology sector companies. Dennis is a veteran, Microsoft Alumni, and certified CISSP, CISM, Security+, Microsoft Certified Cybersecuirty Architect, AWS Certified Solutions Architect – Associate, and many others.
Octavia Wilson

Octavia Wilson

Director of Compliance
Octavia brings nearly 10 years of Compliance and Regulatory Affairs experience supporting federal agencies in highly regulated environments. Octavia is adept at interpreting complex federal regulations, developing compliance policies, conducting internal audits, and leading cross-functional communication. Brings a strong foundation in healthcare administration and a commitment to ethical governance, continuous improvement, and operational compliance. Octavia brings a strong foundation in healthcare administration and a commitment to ethical governance, continuous improvement, and operational compliance. Octavia holds a Bachelor of Health Sciences, Healthcare Administration.