Upon identifying each signal variance between matched peer-group profiles and individual claim consideration cases (each a fraud, waste, or abuse improvement opportunity), MedAssurant’s Claims Integrity™ system is unique in its ability to generate and report respective potential financial impact, verification probability, and a return-on-investment threshold variance. The potential financial impact reflects the variance in precise financial terms. These thresholds guide validation procedures which, once triggered, confirm concordance between analytical signals and actual medical documentation – whether EMR or paper-based in origin. Expansion of validation routines can further document the situation – broadening case insight and strengthening signal confirmation. These and other return-on-investment variance thresholds aid in guiding MedAssurant and its clients in determining which improvement cases should be pursued – avoiding inappropriate chasing of low yield or low likelihood improvements seen often in alternative solutions. These and other powerful threshold tools enable the MedAssurant Claims Integrity™ system to deliver not only superior healthcare data quality and financial improvement capabilities, but also unprecedented controls on cost and return-on-investment threshold goals to its health plan clients.