Highmark Inc. extends partnership with CGI to enhance and strengthen claim payment programs and drive innovation

Rhea-AI Summary

CGI (NYSE: GIB) renewed and expanded its decade-long partnership with Highmark Inc on Dec. 2, 2025 to continue using the CGI ProperPay platform for claims payment integrity.

The contract extends analytics, recovery audit capabilities, predictive modeling, and case-selection optimization. Highmark reported year-over-year improvement in recoveries, reduced false positives, and a 98% uphold rate on audit findings. CGI said the expansion will include potential new AI-powered capabilities to automate high-volume review workflows and accelerate outcomes.

Positive

• Renewal extends >10-year partnership with Highmark
• Enhanced data analytics and recovery audit capabilities
• Reported 98% uphold rate on audit findings
• Measured increase in average savings per inpatient review
• Planned AI-powered automation for high-volume reviews

Negative

• None.

Insights

Healthcare IT & Payment Integrity Strategist

Renewed CGI–Highmark deal strengthens claims payment accuracy and scales analytics-driven recoveries.

CGI will continue supplying the ProperPay platform to Highmark, extending analytics, recovery-audit capabilities, and predictive case selection that the content ties directly to higher recoveries and operational efficiency.

Key dependencies include sustained data quality, audit governance and provider engagement; the stated 98% uphold rate and year-over-year recovery improvement support measurable value but require continued execution to persist.

Watch for concrete milestones such as rollout of the new AI-powered automation features and updates to recovery metrics over the next 12–24 months; these will confirm whether the expansion translates into scalable savings and workflow automation.

PITTSBURGH, Dec. 2, 2025 /PRNewswire/ -- CGI (TSX: GIB.A) (NYSE: GIB), one of the world's largest independent technology and professional services firms, today announced the renewal and expansion of its long-standing partnership with Highmark Inc., a wholly owned subsidiary of Highmark Health, one of the largest integrated health organizations in the United States. This renewed agreement builds on over a decade of successful collaboration, enabling Highmark to continue advancing its payment integrity goals through the proprietary CGI ProperPay^® platform.

Under the new contract, CGI will deliver enhanced data analytics and recovery audit capabilities that support Highmark's enterprise-wide claims review initiatives. The partnership has already demonstrated sustained success, including year-over-year improvement in recoveries, reduced false positives, and a 98% uphold rate on audit findings.

"CGI's innovation continues to increase identified overpayments year over year," said Kurt Spear, Vice President of Financial Investigation and Provider Review at Highmark. "Our ability to effectively address claim billing errors has been tremendously strengthened by our partnership with CGI. They have been a trusted and reliable advisor to Highmark in our collective efforts toward claims payment accuracy."

The CGI ProperPay platform plays a central role in the Highmark initiative, providing advanced audit capabilities that leverage predictive modeling, case selection optimization, and continuous refinement of audit concepts. As a result, Highmark has seen a measurable increase in average savings per review on inpatient claims while maintaining operational efficiency and strengthening provider relationships.

"This ongoing partnership reflects our shared commitment to innovation, collaboration, and delivering meaningful value to healthcare consumers," said Deb Mohapatra, Senior Vice-President & Business Unit Leader at CGI. "We are also excited about the potential to introduce new AI-powered capabilities that will further accelerate outcomes and automate high-volume review workflows."

About CGI
Founded in 1976, CGI is among the largest independent technology and professional services firms in the world. With 94,000 consultants and professionals across the globe, CGI delivers an end-to-end portfolio of capabilities, from strategic IT and business consulting to systems integration, managed IT and business process services and intellectual property solutions. CGI works with clients through a local relationship model complemented by a global delivery network that helps clients digitally transform their organizations and accelerate results. CGI Fiscal 2025 reported revenue is CA$15.91 billion and CGI shares are listed on the TSX (GIB.A) and the NYSE (GIB). Learn more at cgi.com.

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View original content:https://www.prnewswire.com/news-releases/highmark-inc-extends-partnership-with-cgi-to-enhance-and-strengthen-claim-payment-programs-and-drive-innovation-302625819.html

SOURCE CGI Technologies and Solutions, Inc.

FAQ

What did CGI announce about its Highmark partnership on Dec. 2, 2025 (GIB)?

CGI announced a renewal and expansion of its partnership with Highmark to continue using the CGI ProperPay platform and deliver enhanced analytics and recovery audits.

How does the CGI ProperPay platform help Highmark (GIB)?

ProperPay provides predictive modeling, case-selection optimization, and continuous audit concept refinement to improve recoveries and reduce false positives.

What performance metrics did Highmark report under the CGI agreement (GIB)?

Highmark reported year-over-year recovery improvements, reduced false positives, and a 98% uphold rate on audit findings.

Will CGI add AI features to the Highmark program (GIB)?

CGI indicated plans to introduce new AI-powered capabilities aimed at automating high-volume review workflows and accelerating outcomes.

Does the renewed CGI–Highmark deal affect inpatient claim savings (GIB)?

The announcement states Highmark has seen a measurable increase in average savings per inpatient claim review under the program.

Where can investors find the effective date for the CGI–Highmark extension (GIB)?

The partnership renewal was announced on December 2, 2025.