Third-Party Administrators
Protect your employers and members from wasted healthcare spend with our AI-Powered Payment Integrity Solutions.
We Handle the Details
While You Save
Our suite of AI-powered payment integrity solutions simplifies your claims review process from end to end. We’ve got you covered — from your simplest claims to your most complex.
Pre-Payment Protection
Protect your employers and experience our proactive approach to tackling fraud, waste, and abuse. We use AI to find more errors post-adjudication, pre-payment.
Save Your Employers More
Extend beyond standard edits and forensically review each claim for fraud, waste, and abuse — finding 22% more savings above network discounts.
We'll Do the Heavy Lifting
Our industry-leading team of clinicians and technologists ensures that each of your claims is rigorously examined for errors before a payment is issued.
Start Saving Right Away
Our integration with all major clearinghouses and adjudication systems streamlines implementation, and you don’t pay until you save.
Stop Chasing Overpayments
Proactively tackle fraud, waste, abuse, and billing errors at the point of inception. Issue accurate reimbursements upfront, and prevent abrasive downstream clawbacks.
