Automate Claim Review
Move from manual and inconsistent review to
automated and efficient review of every claim.
Help staff review faster and more efficiently
Provide consistent, accurate and quantitative review results
Evaluate all claims vs only outliers
Reduce Turnaround Time
Review millions of claims within minutes
Automate Payment Integrity
Move from post-payment recovery to pre-payment
& prevention model to make accurate payments.
Reduce Pay and Chase
Real-time advanced analytics to identify improper billing practices
All claims with attachments are reviewed to identify improper billings
For phantom diseases and treatments
Duplicated and manipulated claims and images