Vendor needs to provide payment integrity validation and oversight tool.– System shall enhance the ability to detect improper healthcare and dental payments and ensure compliance with established reimbursement policies and guidelines.– Solution capable of supporting a minimum of 100 concurrent users that integrate with existing systems, ingests a wide variety of claims and healthcare data, and leverages advanced analytics and machine learning to identify improper payments– Integrate Seamlessly with Systems– Ensure Claims Compliance– Automate and Enhance Audit Efficiency– Detect Improper Payments– Aggregate and Normalize Data for Analysis– Deliver Actionable Insights and Reporting– Support Continuous Improvement through Feedback Loops