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.