Efficiently handle a complex claim situation and multiple touch points with dynamic solutions tailored to payer-specific business rules and edits.
The team at ClaimLogiq work alongside providers and payers to enable the careful management of requirements and maintain the lowest abrasion.
Uncover the best savings possible with tailored technology that zeros in on the greatest possible cost savings in an accurate, consistent outcome.
The added complexity of out-of-network claims is no match for the agile and dynamic software powering ClaimLogiq.
Identify and edit coding and billing errors with an automated rules. Fully manage the claim not just as an editor or auditor but with the full spectrum of team and technology solutions to reach payment integrity goals faster and more accurately.
Using the powerful automation that is customized to each healthcare payer needs, ClaimLogiq will route the claim to the right team and technology point to provide the most cost savings.
Carefully manage provider relations and adapt our technology and teams at varying scales to correctly and efficiently deal with out-of-network claims.
Adjust and adapt real-time to the needs of payer-provider contracts, rules and custom edits as needed.
ClaimLogiq's approach to out-of-network claims is a true software adaptation to any specific healthcare payer needs through client controlled customization.
Unique payer-facing software solutions that enable total transparency and complete client control over the healthcare claims process
Total software and team transparency allows clients to insert and develop custom rules and requirements to scale cost savings over time with immediate effect.
Pre-built and pre-populated libraries are complimented by provider specific custom rules that are adaptable to every agreement.
Full scope clinical analysis experts can identify maximum cost savings for all level payment integrity goals.
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Powerful technology identifies errors with precise accuracy and experienced auditors confirm consistent, repeatable outcomes.
The software "remembers" denials that are unique to provider billing patterns, further automating the process.