Payment Integrity for Client-Focused TPAs

Accuracy & Savings for Plans & Members

With ClaimIntelligence, TPAs across the country are doing right by their customers and their bottom line. Forward-thinking TPAs generate more revenue and win new business by using the ClaimIntelligence platform to review 100% of claims prior to their clients' payment.

In short, the client plans save 5%-15% on claims and TPAs net new revenue of $3+ PEPM.

TPAs white-label ClaimIntelligence to review every claim, regardless of size, for six unique categories of errors, each comprising thousands of edits and industry-standard rules.

Offer your clients more than standard high-dollar bill reviews

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Seamlessly integrate with your existing adjudication flow

Each claim is electronically reviewed in real-time so payment timelines are never affected. 

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Customize what ClaimIntelligence looks for

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Select exactly which edits and filters are applied to claims, to ensure you're both improving the current review process and remaining compliant with network agreements.