Unique markets provide unique challenges. That’s why we tailor our payment integrity solutions and services to fit your needs and goals. Learn more about our customized services and how clinical validation delivers better results.
View our solutions for State Medicaid Plans, Medicaid MCOs, Medicare Advantage and Special Needs Plans.
Public Payors Learn More >View solutions for Managed Care Organizations, Health Plans, Taft Hartley Funds and Third Party Administrators.
Public Payors Learn More >View our solutions for Auto Insurers, Liability Carriers, Workers Compensation Payors, and Supplemental Insurers.
Public Payors Learn More >Only HCI provides clinical validation on suspect claims by licensed clinicians (RN, MD, DDS, etc.) You get fewer false positives and better results.
Each HCI SaaS solution lives in a prepayment, post-adjudication environment. Why? Because “pay and chase” can waste time and money.
No two payors are the same. Our solutions allow you to customize nearly every aspect. This gives you greater control and happiness.
No more licensing fees, upgrade fees, user fees and long implementations. Our web-based SaaS solutions install fast and save money.