• Who We Are

    We believe in a dedication to innovation through continuous self-improvement; in process transparency and client-driven control.

  • About Us

    We believe in a client-facing, transparent approach to payment integrity, and a higher quality of healthcare for all.

  • Our Approach

    You get an entire team of people in your corner—real people—who make your challenges, our challenges.

Who we are

We are architects, claims, and business analysts; certified medical coders, and systems administrators. We are the multifaceted face of ClaimLogiq, and you can find us behind every support ticket, design element, and email - helping, listening, innovating.

 

And that means something.
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About Us

We know that behind every complicated claim is a series of people that need our help: claim payers without enough time or resources to give claims the dedication they deserve; medical patients with bills to pay and not enough funds to pay them. That’s why we believe in a dedication to innovation through continuous self-improvement, process, transparency, and client-driven control.

  • We give the control to clients, over claims
  • Our processes and software is completely transparent
  • The software and technology is uniquely payer-facing for ease of use and customization

Our Solutions

Utilize ClaimLogiq solutions as a customized fit to your specific payer requirements. Complement in-house teams with efficient, superior software. Reduce costs and move to scale with outsourcing service solutions.

  • DRG Review - Services or SaaS
  • IBill, Hospital Bill Audit - Services or SaaS
  • Claims Editing, Out-of-Network Services, LOC, Professional Claims
  • Services, SaaS or, a combination of the two, customized for payer-specific needs.
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OUR SOLUTIONS
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Transparent

We believe in total transparency that allows clients to know the status on a claim during every stage of the workflow and a pulse on productivity and performance.  The capability to be agile, adjust and adapt real-time.

Client-Facing

We believe in a proactive approach to payment integrity that bridges the gap between software and services. Our unique payer-facing solution can be implemented as true SaaS, services or, a combination of the two.

Complete Control

We believe in complete client control over the claim process.  This enables unique customizations, industry innovations, and in-house or, outsourced solutions as it fits the needs of every size healthcare payer.

We make claims logical - because to us, it's personal.

IBill Reviews

Bar none, ClaimLogiq has the most powerful, fastest, and accurate IBill auditing capabilities on the market for results in under 15-minutes using TrueCost.

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DRG Validation

Yield optimum cost recoveries and avoidance with real-time cross-team collaboration between clinical and coding experts for expedited reviews and minimized abrasion.

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Large Claim Audits

Our TrueCost software platform enables analysts to complete complex, high-dollar claim reviews for maximum savings in a matter of minutes without compromising the accuracy and consistency of those results.

Scaleable

Scale quickly and easily with our core integrated software model and technology, no limits on resources or claim volume.

Predictable

When processes are transparent and clients have control, results become repeatable and predictable with consistency and accuracy at the core.

Powerful

Pay or pend results that produce in under half a second and complex claims that have a turnaround time of under hours, not days, points directly to the powerful engine behind ClaimLogiq.
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Logical Claim Solutions

Experience a simplified approach to virtually limitless claim volumes under any specific agreement rules, customized for every size healthcare payer.

 

Unlimited Volume

Virtually unlimited rules, edits, claim volume, and power with the ability to continue accurate and fast results.

Experts

Our team is comprised of healthcare, software, and payment integrity experts with decades of experience.

Agile TrueCost Software

Software, not vaporware, produces a truly technological agile environment that can be manipulated to handle any type or size of claim at the speed of your needs.

Enlightening

Claim auditing software that highlights opportunities and develops solutions in real-time for payer and provider needs.

Cloud-Based

Access a claim anywhere in its life-cycle from anywhere in the world, securely and safely. Control resources and easily communicate just as you would in-office.

Precise

Dependable, repeatable outcomes deliver precise results every time that yield the highest concentration of cost savings and payment integrity results.
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“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

Leadership Team

ClaimLogiq's team has decades of experience in the healthcare payment integrity industry, driven by operational excellence focused on a transparent environment for clients and employees.
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HITRUST Certified

ClaimLogiq's TrueCost SaaS platform is verified by the Health Information Trust (HITRUST) Alliance. The comprehensive HITRUST CSF information security framework incorporates healthcare-specific security, privacy, and regulatory requirements to include HIPAA, NIST, ISO, and COBIT as well as industry best practices to provide a single evaluation framework designed to support the information protection needs of ClaimLogiq's clients.
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Engage with a Claim Audit Expert.

Contact our team and get a one-on-one customized solution that fits the specific needs of your payer-provider relationships and claim auditing needs.

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ClaimLogiq takes privacy and information security very seriously. We are compliant with the regulations and conditions set forth in the Health Insurance Portability and Availability Act of 1996 (HIPAA). ClaimLogiq, defined as ‘Business Associate” per the HIPAA act, shares a commitment with HIPAA Covered Entities to protect the privacy and confidentiality of the covered information obtained; subject to the terms of a Business Associate Agreement. ClaimLogiq has implemented administrative, physical, and technical safeguards that protect the confidentiality, integrity, and availability of covered information that is received, maintained, or transmitted on behalf of the HIPAA Covered Entity.

We're a leading provider of healthcare software and technology, innovating the path forward for proactive payment integrity. 

 

We make claims logical, because to us - it's personal.
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