Automate Claim Review

Claim Review

Move from manual and inconsistent review to
automated and efficient review of every claim.

  • Improve Efficiency

    Help staff review faster and more efficiently

  • Reduce Appeals

    Provide consistent, accurate and quantitative review results

  • Increase Scale

    Evaluate all claims vs only outliers

  • Reduce Turnaround Time

    Review millions of claims within minutes

Automate Payment Integrity

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

  • Improve Accuracy

    All claims with attachments are reviewed to identify improper billings

  • Eliminate Payout

    For phantom diseases and treatments

  • Identify

    Duplicated and manipulated claims and images