Our software allows for the most logical and simplified breakdown of even the most complicated, largest healthcare claim. Our approach to a software solution is purely logical - clients want control and transparency. We've made the team and technology that can provide exactly that and produce the most cost savings and predictable outcomes.
It's in our name, ClaimLogiq. We take a logical approach to large, complicated, high-dollar claims, and simplify the entire lifecycle. This gives control to our clients through total transparency over the entire claim auditing process.
Our powerful and HITRUST certified software can be used by in-house payer teams or, used by our team of clinical experts as a services solution to find maximum cost savings complemented by tools for enhanced provider relationships all within a single platform.
A unique claim analyzing and payer-facing software platform gives secure access and real-time insight into the claim auditing process, advanced analytics, and customization for rules and workflows. All mediated by machine learning technology that provides accurate, defensible, and repeatable outcomes.
ClaimLogiq completes high-dollar, large complex claims in the fastest amount of time without compromise in accuracy or consistency. Industry experts deliver repeatable and predictable results alongside smart technology that routes the right claim to the right person every time. Payers enjoy virtually unlimited volume and enhanced provider relationships for long-lasting payment integrity.
The ClaimLogiq approach involves giving control of large, complex claims back to healthcare payers. This allows for transparency over the entire process and a fully developed simplified solution as a business partner, not just another vendor. This then results in defensible results through complete customization for every provider and payer agreement.
“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
Efficiently move complex claims through workflows using smart routing and machine learning automated rules and edits. Scale over time and learn at the pace of specific agreement requirements and industry demands.
Maximize performance and improve the productivity of team members and claims! Using our payer-facing software that provides real-time insights into the process, it's possible to pivot and customize our platform to the specific needs of payers and provider agreements as your business evolves.
See lower return rates, faster speed to payment, reduced effort, and resources with greater control over the entire process. Cost savings that smash industry averages all while allowing payers to provide ClaimLogiq as an expert solution or, white-label offering for providers.
When payers have real-time access into every claim and ClaimLogiq software utilizes smart automation and right-team routing, clients have the power to control outcomes for the lowest possible provider abrasion statistics while maximizing cost avoidance and producing greater savings.
Utilize ClaimLogiq HITRUST software in-house or, out-sourced as services. Our team or yours, our software is utilized to reduce resources for both internal and external stakeholders. Use less staff, less time, and less equipment to audit complex claims of any size and any volume for any type of payer.
HITRUST certification ensures the safest and most secure management of data that crosses our cloud-based healthcare payer claim auditing software. Access data securely and logically by specific team member access, release information as dictated by agreements and contracts, and adjust permissions real-time.
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.