ClaimLogiq's automated itemized bill editing includes customizable denial libraries, and feature-rich review functionality that improves the i-bill review speed and accuracy across all team members.
ClaimLogiq combines sophisticated machine learning with the discerning element of the human eye. Powerful technology identifies errors with precise accuracy, experienced auditors confirm consistent, repeatable outcomes.
Pre-built and pre-populated libraries are complemented by provider specific custom rules, that are adjustable and adaptable. Paired with a full scope clinical analysis, cost savings are immediately identified and payment integrity goals achieved.
The software "remembers" denials that are unique to provider billing patterns, further automating the process. This enhances relationships while leveraging and defending findings for auditors and appropriate billing processes for future cases.
Claims that can take up to 8 hours TAT as an industry average, are returned for amended payment in pre and post-pay within 1.5 hours in ClaimLogiq.
A complex itemized bill review, complete with medical records and MD review that produces accurate, consistent cost savings at less than a 9% return rate?
It's possible. With ClaimLogiq.
Experienced industry professionals working in our unique payer-facing software system reveal unlimited powers in producing maximum cost savings while enhancing provider relationships.
Log into our secure HITRUST cloud-based software from anywhere, utilizing in-house resources to reduce overhead and maximize ROI.
Outsource to the ClaimLogiq professional claim editors and auditors. We'll use our software to maintain total transparency.
Your medical staff or, ours. Your experienced editors and auditors or, ours. You choose the implementation model of our software.
Lightning fast speed to payment with zero compromise in accuracy and consistency. Produce predictable, repeatable results at scale.
Our itemized bill review capabilities include automated itemized bill editing, customizable denial libraries, and feature-rich review functionality that improves the i-bill review speed and accuracy across all team members for in-house or, outsourced solutions
Experience smarter software adaptations combined with industry experts that can be implemented as an in-house software solution, outsourced services or any combination of the two.
For any payer and provider relationship, any claim type with maximum volumes.
Automated and adjustable workflow rules that consistently anticipate the production needs and route to the right team member for speedy and proper adjudication
Predefined standard and custom calculation rules and edits improve the machine learning feature over time and empower auditors to achieve accurate and consistent results
Industry-standard and custom pre-screen rules reduce overall claim workflow and automates the claim auditing process
Our HITRUST certified DRG validation solution utilizes rules-based algorithms that target potential coding anomalies and/or documentation improvement opportunities at the time of coding completion
Keep a pulse on productivity and workflow efficiencies, know where to focus workforce attention to adjust and adapt to claim needs real-time
Increase accuracy, compliance, and quality, through dashboards, reporting, and closed loop communications and feedback
Prevent high-cost claim payments without holding up speed to pay. Analyze thousands of pages and complex hospital bill audit requirements in seconds. Reduce the time spent on complex claims with ClaimLogiq technology and in-house or outsourced medical team professionals.
CORRE; ClaimLogiq Operational Rules and Routing Engine is the technology that can adapt to unlimited provider-specific rules in a pre-built and learned environment. The speed and accuracy at which the software processes complex claims enables accurate, consistent and repeatable results at maximum claim volume levels
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.
Payer-facing software, accessible from anywhere in the world with accuracy and consistency that combines the power of machine learning with human experts.
No matter how our claim auditing software solution is implemented, clients have complete control over the in-house and outsourced solution to control outcomes.
View the life cycle of any claim at any time and maintain a pulse on productivity. Analyze member metrics and team KPIs, pivot and adjust with customization available at your fingertips.
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.