Accurate, Consistent Reviews.

The Fastest Speed to Pay.

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Transparent

Payers have real-time access in to every claim, at every stage of the review lifecycle with TrueCost. View correspondence, historical reviews, and more from within one easy-to-use software and highly intuitive platform.

Client-Controlled

Payers of any size can customize the platform to adapt to their needs. Build onto pre-loaded industry edits and test rules in real-time. Decide how provider relationships are managed and more.

Flexible

Decide whether TrueCost should be used in-house or outsourced to ClaimLogiq experts. Combine both methodologies into a hybrid experience to best suit payment integrity program needs and custom-design outcomes.

Powerfully Precise. 

Seamlessly Simplified.

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, increase accuracy and consistency of reviews and make workflows efficient with faster speed to pay as either an outsourced service or as an in-house solution.

TrueCost Payment Integrity Software Platform Whitepaper

Meet TrueCost. 

Meet Payment Integrity on Your Terms.

Learn how our extensive end-to-end claim review solution can be custom configured to your Plan's specific payment integrity program needs. Understand the flexibility of the platform for SaaS, full-services or, Hybrid mode and how its architecture delivers unparalleled ROI through the most accurate and consistent reviews bar none.

Get the White Paper

SaaS

Utilize TrueCost software securely with payment integrity teams in-house. Experience the same beautiful interface and easy-to-use application with existing experts at your Plan.  Achieve the same TATs, accuracy, and consistency of reviews that TrueCost is known for - with your Plan teams.

Services

Have ClaimLogiq experts perform claim reviews without losing total control, transparency and real-time access, and insight into every claim at every stage. Let our teams take TrueCost to its limits with your Plan's customized workflows and prove ROI with maximum savings that meet the fastest speed to pay.

Hybrid

Utilize a customized mix of ClaimLogiq experts and your Plan personnel. Using TrueCost, Hybrid teams can seamlessly communicate and collaborate across audit silos to deliver Plan-designed outcomes and manage aspects of the workflow in-house while others are managed by ClaimLogiq for tailor-made efficiency at the program level.

The Many Talents of TrueCost

DRG Validation

Collaborate in real-time across audit silos for fast and accurate coding results that expedite MD clinical reviews. Payers can view all correspondence and communications in real-time.

IBill Review

Complete multi-million dollar itemized bill reviews in a matter of minutes with no compromise in accuracy or consistency. Maximized savings, more reviews in less time, with dependable and predictable results no matter who performs the review.

Dual DRG + IBill Audit

Complete rapid reviews of complex hospital bills simultaneously and cross-collaborate between teams without confusion or delay in results. A combination review in as little time as a singular review is possible using TrueCost.

CORRE

ClaimLogiq's Operational Routing and Rules Engine can pay or pend claims in under 250 milliseconds. Inside TrueCost, analysts can test rules in real-time without stopping payment.

Provider Portal

ClaimLogiq's Provider Portal serves as a user-friendly and speedy document exchange service. Once documents are uploaded, they are immediately escorted to the secure HITRUST environment of TrueCost.

ROCR - Rapid OCR

The learning technology adapts to provider formats over time to reduce time spent in OCR with fewer errors and less human interaction speeding up the time to audit and the time to pay for both medical records and IBills, easily viewable and referenced inside the beautiful UI of TrueCost.

The 15-Minute IBill Review

ClaimLogiq's intelligent software, TrueCost is at the very heart of the razor-sharp accurate, and lightning-fast 15-minute itemized bill review. Providers receive correct payment proactively, and Payers can stop the abrasive (not to mention outdated) pay-and-chase.

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Plan-Designed Payment Integrity

TrueCost shines exactly where Payers need - flexibility at its core enables program-specific customized workflows, tailor-made provider relations and so much more.

Custom Workflows

Design every element from data intake to results. Automate the performance aspects of each review with tailor-made rules, review steps and more.

Real-Time Access

As SaaS, Services or Hybrid Plans have ultimate control and access to every claim and every review at every moment no matter where it is in the process.

Integration Ready

TrueCost is built to easily integrate and adapt to plan-specific third-party applications, bolt-on and keep moving.

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Provider Relations

Customize how your precious relationships are handled. White-label communications, have ClaimLogiq experts handle process execution, and utilize our accessible and secure provider portal as it suits your program needs.

Detailed Reporting

Pull or push a variety of detailed real-time, monthly, and ad-hoc reports that give valuable insight into performance metrics.

Role-Specific Access

Allocate permissions to internal and external team members to control the exact amount of access for analysts, admins and all stakeholders.

Experience our dedication to payment integrity.

See for yourself how ClaimLogiq can adapt the highest level of payment integrity to all claim environments at any stage of the claim life-cycle. Recoup costs, avoid over-payments and grow relationships with stakeholders.

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