Clean Claim Reviews

Our process includes management of claims through the review, payment, and all resolution and appeals activities with providers.

Our Clean Claim Review Cost Containment Solution

Our unique pre-payment “clean claim” review process extends beyond typical clinical reviews and evaluates every line item billed to identify and remove billing errors and inconsistencies that would otherwise be paid. Our clinical review product offers the highest quality in the industry and delivers the best savings.

Our clinical reviews will be used in conjunction with reference-based pricing to aid negotiations as well as a stand-alone product. The adjunct of our clinical reviews confirms that only accurately billed charges are paid prior to any other discount application.

Clean Claim Review Submission Process