Pre-Payment Insight & Review

Sign in

Sign in

Product Applications
Find, access, and login to your product application portal as a current customer.

Use the �糵�� product support portals to submit support requests and find answers to your questions.

View your current quotes and finalize your order by logging into your Marketplace account.

Login to your community accounts to get product updates, ask questions, and learn best practices.
Support

Support

Get help with �糵�� products, find resources such as enrollment forms and payer lists, and quickly resolve common issues.

Find forms for medical claims, patient eligibility, ERA, and EFT payment information.

Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers.

Your online resource for healthcare regulations and standards.

Speak with customer support 866-371-9066
Contact

Select a Form

Contact Sales

Partnership Inquiry

First Name *

Last Name *

Business Email: *

Job Function *

Job Level *

Claims Volume

Company *

Company Type *

Practice Specialty

Number of Covered Lives

Practice Management Software Vendor

Business Phone *

Country *

State/Location *

Comments/How can we help?

Subscribe to �糵�� Communications

Web Analytics

Web Analytics

Speak with a Sales agent

1-866-817-3813

If you're interested in partnering with �糵��, please fill out the form below and we’ll be in touch soon.

We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare.

First Name *

Last Name *

Email Address *

Business Phone *

Company *

Country *

State or Province *

Address 1 *

Company Website

Company Profile *

What best describes what you would like to learn more about?

What type of products or services does your company provide?

Type of partnership interest? *

How would you describe the opportunity for partnership between our two organizations?

Who are the targeted end users? *

Area of interest for this partnership?

Do you have other business relationships with �糵��? *

Contacted us previously about this partnership inquiry?

If you have contacted us previously concerning this partnership inquiry, include a list of people within �糵�� with whom you have already been in contact.

Comments

address2

Speak with a Sales agent

1-866-817-3813

Thank You
��

We appreciate your interest in �糵��. A member of our team will contact you to better understand your needs and discuss potential solutions.
��

Together, we are accelerating the journey toward improved lives and healthier communities.

Software

Pre-Payment Insight & Review

An analytics and methodology-driven prepayment medical record and claims review solution for TPAs and payers that want to broadly view billing activity, identify improper payments before they are paid, and reduce waste in the payment process.

��

Contact Sales

MinimizePre-Payment Waste

Identify improper claims, allowing an opportunity to correct them and deliver medical cost savings.
Maximize incremental savings��with sophisticated cross-claim logic.
Increase efficiencies��with automated detection capabilities.

Reduce pay and chase��as savings are captured before they are paid.
Minimize��improper payment risk.
Access results and status��through our client portal to identify gaps in the claim payment process.

Increase Transparency and Minimize Costs

Expert payment integrity insights
- Leverage the breadth of information available on our Intelligent Healthcare Network™.
- Enhance your approach to preventing unnecessary losses with our clinical experts and certified coders that evaluate flagged claims for potential risk, and provide expert insights.
- Reduce provider abrasion with an expert staff that reviews flagged claims and only selects those for medical record review that have highest potential for savings.
Medical record review service
- Identify claims for review with powerful data-driven analytics and industry sourced, proprietary claim screening logic combined with our expert triage process.
- Identify new and emerging abnormal claims submission scenarios.
- Take advantage of our experts that deliver detailed documentation of review findings and provide support through the appeal process.
Supplemental code edit service
- Access continuously updated edits that identify code edit savings often missed by primary code edit software.
- Depend on customized code edits that act as a safety net for primary code edit solutions that may not be fully up-to-date.
- Ensure edits are current with our Software as a Service (SaaS) approach.

Our outcomes

View all insights

Infographic

We Deliver So You Can. The Streamlined Patient Communications Solution

Infographic

We Deliver So You Can. The Streamlined Patient Communications Solution

Learn how a platform for the full spectrum of patient communications accelerates revenue, lower cost-to-collect, reduce bad debt and boost the patient experience.

Learn More