ClaimLogiq IQ Insights

Read our experienced team's thought leadership and insight for all areas regarding healthcare claims auditing, payment integrity, provider relations and cost avoidance.

How We Keep it Personal

At ClaimLogiq, we are a technology and software company focused on innovating the often-archaic methods of claim auditing. Payment integrity, in the past, has meant manually looking through a stack of paperwork to check thousands of lines of medical codes for errors. We're making claims logical through the use of technology. Our HITRUST CSF certified platform is able to find IBill errors in 20 minutes -- compare that to the two-plus days that checking the stack of paperwork would take. SaaS, or Software-as-a-Service companies are known for innovating and automating work that can solve all kinds of problems. But have you ever found yourself asking "Why can't I just talk to a human!?" Sometimes, SaaS companies can solve one problem with technology, but unknowingly cause another due to lack of personalization and customization for the client.  At ClaimLogiq, however, personalization, customization, and excellent communication are some of our core values. Not only are they built into the foundation of our software, but we uphold them in our client relationships and our work every day. As our tagline states, to us, it really is personal. But how do we prove it?

Why Startups Are an Important Part of Healthcare Industry Innovations

Scientists and doctors are constantly innovating to find new and better ways to learn about, treat, or even cure ailments or diseases that affect us. There will always be a newer, possibly better solution on the horizon. However, innovations in healthcare shouldn't be taken for granted. In fact, it's important that we don't think of innovations in health care as expected or able to be achieved with the same players, but rather, encourage those willing to find new solutions to do so.

Industry News: COVID-19 Impact on Employer Health Plans

The impact of the pandemic hasn't been a ripple effect, it's been more like a shockwave to the healthcare industry, insurers and employer health plans (just to name a few in the payer space). It's safe to say no matter who you are, there is an immediate visceral reaction to the impact "Coronavirus" or, "COVID-19" is having on lives, every day. Specifically, the impact on employer sponsored health insurance plans revolves around massive job losses and, although the immediate affect has been staggering, as we enter the second half of 2020, there appears to be some up-ticks in positive notes about the still, very challenging road ahead.

What will Telehealth look like after COVID-19?

COVID-19 caused a drastic decrease in in-person care. Nearly overnight, anyone displaying symptoms of the virus was urged not to walk into their medical clinic without calling ahead and making sure it was necessary. With COVID-19, suddenly, telehealth was more necessary than ever before. So – where do we go from here? If this is the new normal for doctor’s visits, is it good enough? How do we make it better? And how?

Industry News: Health Insurers Call on Congress to Provide New Funding

Industry News: Health insurance companies are calling on Congress to provide more funding to help people keep coverage, citing the more than 44 million who have filed for unemployment since the coronavirus crisis started. The two main health insurance lobbying groups, America’s Health Insurance Plans (AHIP) and the Blue Cross Blue Shield Association, wrote a letter to congressional leaders on Friday making a range of requests for the next coronavirus response package, expected later this month.

Healthcare Price Transparency - What are the costs?

What are the costs for payers, providers and patients in moving towards a historic healthcare price transparency model?  We know that payers and providers negotiate specific pricing tiers and strategy regarding both small and complex healthcare visits and procedures, but, what would that look like up-front to the patient?

Disrupting The 'Black Box' Model

3 Ways ClaimLogiq is Disrupting the 'Black Box" Model of Claim Auditing Sending claims out for audit and waiting on the results to be delivered without any insight into, or control over, the process, is commonly referred to as the 'black box' model of claims auditing.  This is especially true of an often disparate process of reviewing high dollar claims, particularly Itemized bills and DRG validations.  

Proactive Payment Integrity

Please refer to our page on Payment Integrity, here.

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