Delivering accurate and consistent results in <15 minutes. ClaimLogiq capabilities include automated bill editing, denial libraries and functionality that improves review speed and acuracy.
Our validation tool offers pre-screen rules catered to each players unique review protocols, claim routing to appropriate team members, and consistent results to reduce provider appeals.
The first step to knowing what's in your data is accessing it. ClaimLogiq's NLP capabilities powered by SyTrue unlock insights from unstructured and structured data so you get analytics based on the whole truth.
ClaimLogiq offers a unique payer-facing solution that can be provided as a solution to reducing resources with an in-sourced model or driving cost savings with a services-based model or, as any combination of the two, tailored to each Payer and payment integrity program need.
ClaimLogiq's completely paperless environment allows for easy workflow management and collaboration on claims, regardless of users’ physical workspace. Payers can utilize the platform to review claims internally or, when needed, route cases seamlessly to ClaimLogiq’s review staff for external review.
Utilize TrueCost, our unique payer-facing cloud-based solution, to control outcomes, reduce provider abrasion, promote productivity and retain complete control over the claim auditing process.
“The medical directors' work on ClaimLogiq’s platform is possible only because of the work ClaimLogiq and their staff do in these sometimes very complex cases! Thanks for all your help and flexibility in dealing with our questions!”
– Medical Director at Mid-sized Blues Client
We design solutions for a constantly evolving healthcare claim environment. We help payers improve their claim review outcomes by providing tools to simplify and take control of the process.
Our DRG validation tool offers analysts pre-screen rules designed to select the best-suited claims to payer’s unique review programs. These rules are tailored to fit the specific needs of your provider contracts and plan design.
ClaimLogiq capabilities include automated itemized bill editing, customizable denial libraries, and feature-rich review functionality that improves the IBill review speed and accuracy across all team members.
ClaimLogiq's end-to-end solution, TrueCost™, and intelligent tech tools
provide Payers in-house or outsourced capability to handle complex claim reviews in under 15 minutes.
Using provider-specific and industry edits, claim files are matched to criteria for a pay or pend for review result in under 250 milliseconds.
ClaimLogiq's Rapid OCR tool scans IBills of varying sizes and types with multi-threaded capability to normalize data in minutes, even seconds, for immediate review in TrueCost.
ClaimLogiq can house your entire claim auditing process and management in TrueCost – a secure, cloud-hosted user-friendly application that clients can access from anywhere using internal resources or ClaimLogiq's team.
Consistency goes hand-in-hand with repeatable and accurate payment results. Providers enjoy reliable contact, and payers see scale-able growth.
Change the way you approach payment integrity. Realize accurate audits and true cost savings with a proactive approach using up-front industry rules and custom edits.
Razor-sharp accuracy leads to fewer appeals alongside high-trained team members and clinical experts to drive total confidence in results for both payers and providers.
Watch the lifecycle of a large claim during any step of the process. Adjust team members, adapt software and technology and analyze metrics, real-time to control results.
Large claim reviews are essential to payment integrity, so ClaimLogiq developed TrueCost to simplify the process, provide better ROI, and reduce resources with repeatable, consistent, and accurate outcomes.
Our unique approach to simplifying complex claims and the auditing process is to give control back to the client. This enables predictable, repeatable outcomes in a customized environment, so healthcare payers have complete control over maximizing cost savings and enhancing provider relationships.