Pre-Payment
Claims Negotiation
Our Provider Relations team of clinical and financial experts proactively negotiate with your providers to optimize reimbursement and maximize savings.
Your Savings, Secured
We believe in a collaborative approach to negotiations — working with providers instead of against them to ensure the proper reimbursement is issued. Each claim is secured with a formal letter of agreement that adheres to PPO contracts and limits appeals.
Intelligent Claim Selection
Our proprietary, data-driven approach allows us to accurately select claims most likely to lead to savings through further negotiation.
Secured Savings
We enter into a letter of agreement with providers to certify their agreement with our findings — guaranteeing your savings while preventing downstream appeals.
Defensible Findings
Leveraging industry-standard rules and guidelines, we ensure the validity and defensibility of each of our findings.
Explore Our Claims
Review Platform
Transparency Brought to Claim Reviews
Partner with us and discover a reinvented way to view, sort, and gain insight from your claims data.
Our cutting-edge, highly transparent Claims Review Platform provides you with real-time insights on your claims — from discrepant charge details, to review status and delivered savings — displaying all of the information you need in one central location.
