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
benefits

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