Stop high-cost errors before payment
We determine the accuracy of high-cost claims and solve for the most complex claim reviews. Our technology combines artificial intelligence with clinical code mapping and legislative regulations. This ensures accurate payments are determined quickly.
Itemized bills include hundreds of pages and thousands of non-standard line item descriptions. Our system normalizes the data, flags the errors, and routes the bill to a specialized clinician.
Our clinical specialists support findings with regulatory guidelines and plan details. Resolution experts partner with providers to enhance relationships while leveraging and defending findings and training on appropriate billing processes for future cases.