ClaimLogiq's Operations Rules and Routing Engine is the most powerful on the market for claim auditing. It produces accurate results in under 400 milliseconds with razor sharp accuracy.
Speed and volume means nothing without dependable accuracy and consistency. CORRE delivers industry-leading results for accuracy on a predistable and repeatable basis.
Industry standard edits and client customizable rules for provider-specific contracts enable large claims at any volume to produce a pay/pend in under half a second.
Defensible results from CORRE every time with custom provider-specific and payer mandated rules, comlemented by out-of-the box with a robust library full of indsutry edits.
ClaimLogiq simplified claim auditing technology is always complemented by a team of our experts, or, yours. Here's a list of the core features the CORRE rules engine houses to produce accurate, defensible results, every time.
CORRE executes data manipulations, corrections, and any cleansing required when gathering information.
CORRE will perform grouping functions through our grouping module and use the outcome as either the source or as a comparative data set.
During the claim selection process CORRE excludes any claims determined to be ineligible based on your program criteria.
CORRE executes on our library of selection rules to target claims for review that will maximize your savings.
Because claims can hit multiple rules, CORRE scores the claims and makes the claim proceed through smart routing to the right person, every time.
CORRE houses our R&D rule testing engine where we continuously create, evaluate, adjust, and test our selection to provide the results payers are looking for.
Technology is nothing without team. ClaimLogiq has developed the only simplified payer-facing approach to claim auditing so that claims of virtually limitless volumes can be adequately managed by the right team members, with speed and consistency at the core of payment integrity outcomes.
ClaimLogiq experienced team members are at the core of our combination success model. Our team and technology DNA combines with your experts to produce repetable, desired outcomes.
ClaimLogiq software enables not just the editing and auditing of claims but, total claim management from pend to pay. Empower team members to facilitate the process through total management over the process.
Manage claims and improve relationships between patient plans, providers and specific healthcare payer needs. ClaimLogiq sfotware produces analytics and defensible results that enhance relationships not just manage them.
No matter how our claim auditing software solution is implemented, clients have complete control over the in-house and outsourced solution to control outcomes.
Payer-facing software, accessible from anywhere in the world with accuracy and consistency that combines the power of machine learning with human expert.
CORRE Claim Logic is the technology that can adapt to unlimited provider-specific rules in a pre-built and learned environment.
Take a tour of our comprehensive client claim solutions. Discover a unique payer-facing software solution that can be implemented to meet specific payer and provider needs. Reduce overhead and increase accuracy with an in-house solution and make workflows efficient with faster speed to pay as an outsourced service.