ClaimInformatics

At ClaimInformatics, we are dedicated to discovering and recovering improper payments on behalf of employers and administrators. We have designed a state-of-the-art, highly secure, HIPAA Compliant system that provides new levels of accuracy and transparency for improved payment integrity. This new platform has been designed to provide a granular forensic review of all healthcare claim transactions. We handle recovery and reconciliation of improper payments as well as detection of fraud, waste and abuse. Our process incorporates an end-to-end solution with corrective action plans. We have a continuous monitoring cycle and we deploy code auditing controls for pre-payment applications that favors the most effective configuration for your specific payer.