ClaimLogiq IQ Insights

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.

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.

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.

Please refer to our page on Payment Integrity, here.