IQ Insight Blog

Go inside ClaimLogiq with thought leadership and insight on a variety of healthcare payer and employee engagement topics to learn what makes us unique.

Bringing passion to work daily

This is the second of a two-part series honoring our nurses at ClaimLogiq. (Yes, we're a tech company but nurses play a big role in what we do). Hear how their experience and passion make working with ClaimLogiq so valuable.

Honoring ClaimLogiq's nurses

ClaimLogiq’s powerful technology to read, review and process complex medical claims for accuracy is lucky to get a shot in the arm by those best qualified to administer it: nurses.

Paperless technology = saving trees!

ClaimLogiq: Containing health care costs & saving trees daily

Women's History Month - A daily commitment at Claimlogiq

International Women’s Month isn’t just for March, it is a 12-month commitment at Claimlogiq. The majority of our team is female. Women lead our finance, operations, human resources and compliance departments.

How Data Privacy and Security Coexist with Our Cloud-Based Payment Integrity Solutions

Data privacy and security are upheld with the highest level of care at ClaimLogiq, which is why we seek the gold standard of data and information, safety, and security certifications – HITRUST CSF®. The importance of this certification is well known in the healthcare industry, and for Payers' payment integrity programs, the benefits of and trust in the safety of this label has no equal.

How the 15-Minute IBill Audit Transforms the Payment Integrity Landscape

While the typical hospital claim review can take days to weeks – ClaimLogiq’s solutions empower analysts to finalize reviews in hours, even minutes. Now, ClaimLogiq has announced the 15-Minute IBill audit as part of our regular claim lifecycle audits.  The breakthrough 15-Minute IBill Audit is game-changing for payers of all shapes and sizes. Now, lengthy audits for complex hospital itemized bills, and unavoidable overpayments and recovery efforts, are a thing of the past.

How Workflow Guardrails Increase Claim Review Efficiency Through Custom Automation

ClaimLogiq makes claim reviews logical – from Payer to Payer, Provider to Provider, and review to review – by allowing unparalleled cross-collaboration in real time across work silos. TrueCost enables this real-time cross-collaboration through its seamless design, user-specific access levels, total transparency into every stage of the process, and options for real-time two-way communication within claims themselves. That’s a lot of moving parts, I know. And when it comes to manual claim reviews, or using most claim review softwares, real-time cross-collaboration and multiple users having access to the review/platform risks further human error, messy chains of command, and drawn out turnaround times. But before you get any heartburn from the thought of your workflows being unintentionally tampered with, know that TrueCost is uniquely positioned to protect your claim review processes – with Workflow Guardrails.

How the 15-Minute IBill Review Works

Our 15-Minute IBill Audit is an end-to-end solution that allows healthcare Payers of any size, shape, or scope to produce quality itemized bill reviews in under 15 minutes. We're maximizing automation with intelligent software and technology that learns and adapts to specific program needs. See first-hand, how the workflow is optimized at every step to minimize provider abrasion, accept customizations, and evolve at the speeds of the healthcare industry.

How to Successfully Implement your Payment Integrity Program in Under 90 Days

All payment integrity programs are not created equal. The process for implementing a payment integrity program will look different for every healthcare plan -- and for good reasons. However, it is possible to successfully implement these differing payment integrity programs in under 90 days with the right business partnership and aggressive (yet very achievable) tactics and strategies. 90 days might seem ambitious, but, when payers work with a partner that is capable of bridging any gaps in the implementation process, it is possible to achieve swift implementation timelines. When we approach all client relationships as true business partnerships, it benefits all areas of every program execution. Our operational execution is second to none, our team is stacked with experts with decades of experience in the payment integrity space, and our TrueCost solution offers transparency, client-driven control, customizability and flexiblity to meet every need. These factors are what sets ClaimLogiq apart -- not just during the implementation phase -- so we're ready to move as fast as our clients can when it comes to crossing major milestones of any program implementation.

Reasons Payers Should Evaluate Bringing Payment Integrity Programs In-House

In the world of healthcare, claims audits can be complicated. It’s no wonder most healthcare plans that don't have the bandwidth to spend days analyzing stacks of paperwork opt to outsource their claim reviews to third-party vendors in order to alleviate the burden.

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