Why You'll Like Us
We aren't just another vendor with just another product.
We're changing health care by providing better software,
better analytics, better service and better savings results.
Free Data Analysis, Free Reports.
We know we can help you. Sign up for a free trial and we’ll let you test-drive the system, and quantify just how much you can save.
Clinical Validation = Better Results.
Only HCI provides clinical validation on suspect claims by licensed clinicians (RN, MD, DDS, etc.) You get fewer false positives and better results.
Prepayment Saves Time, Money.
Each HCI SaaS solution lives in a prepayment, post-adjudication environment. Why? Because “pay and chase” can waste time and money.
Total Customization, Satisfaction.
No two payors are the same. Our solutions allow you to customize nearly every aspect. This gives you greater control and happiness.
On-Demand Reports, Information.
Create and schedule custom or preset reports with our On-Demand reporting module. You get instant information and instant satisfaction.
Dashboards, KPIs Drive Success.
Our customizable roles-based dashboards display KPIs, alerts and more. View savings, claims and other critical information real-time.
Exceptional Support, Included.
We give you round-the-clock support from clinicians, coders and investigators. We help you with appeals, custom reports and more.
Real-Time Processing, Fast Return.
You don’t have time for slow payments. That’s why our real-time application sends all clean claims back in minutes. No more delays.
SaaS Saves Headaches and Cash.
No more licensing fees, upgrade fees, user fees and long implementations. Our web-based SaaS solutions install fast and save money.
Profiling and Editing, All in One.
Unlike other services, we bundle powerful claims editing and fraud prevention in one comprehensive payment integrity solution.
Elements of Success
Not all payment integrity solutions are created equal. At
HCI we believe that successful fraud, abuse and waste
prevention must include the following key ingredients:
Robust Data Warehouse
- 25 million members >
- 1.3 million providers >
- $90 billion paid claims >
- 450 million lines >
Advanced Technology
- Over 3 million algorithms >
- Dynamic scoring >
- Customizable parameters >
- Real-time claims processing >
Clinical Review
- Medical coding specialists >
- Clinical Investigative Unit (CIU) >
- Physicians, nurses and dentists >
- National clinical panel >
Complete Service
- Account support team >
- Dedicated clinical resources >
- Ad hoc and custom reporting >
- Appeal support and response >
