Health Plans

Discover significant payment integrity savings at a much lower cost

ClaimInsight is:

  • A Payment Policy library and rules engine,
  • Delivered through our automated editing capability,
  • That enables systematic execution of policies and rules,
  • In combination with our Medical Director review of high dollar/complex claims,
  • At a lower administrative cost to you


Results Matter

  • 1-3% expected Payment Integrity Savings

Significant Reduction of Payment Integrity Costs

  • Lower administrative spend compared to today

Quick Benefit Realization

  • Incremental and complimentary to current Payment Integrity program

Defensible Automation

  • Experts codify our library of payment policy insights into algorithms that incorporate pattern recognition and predictive analytics, maximizing value

Want to Dive Deeper Into Your Savings?

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