Peace of mind delivered with simplicity for you & your employees

Medical Claims Review

  • Payer Performance & Claims Accuracy Evaluation

    Consultative evaluation of 18-24 months of de-identified claims to provide transparency into what you’ve paid for across medical and medical pharmacy (specialty pharmacy) claims. Designed for visibility, built for speed and accuracy.

  • Post-Pay Overpayment Recovery

    Risk-free approach, where we only get paid when you capture claim recoveries. Our full-service recovery support includes: identification of potential claims, request for medical records, review for accuracy, submission of adjustments to provider, support provider appeals, & validation of finalized pricing.

    We support historic and ongoing claim files, claims pre-payment, and ad-hoc high cost claimants.

  • Simplicity for your members & you

    We handle all the work by identifying claims, submitting for reimbursement, and validating final disposition. Once access is established, no additional employer action.

    No undue burden or surprise fees.

  • Privacy is non-negotiable

    We take every possible step to ensure security and privacy. Our approach applies best practices leaned through experience in mitigating risk and potential consequences.