Private Sector
We aren't just another vendor with just another product.
We're changing the private sector with better technology,
better clinicians, better service and better savings results.
Start paying your health care claims the right way. Stop fraud, eliminate waste and save money with a total payment integrity solution.
We provide private sector claims payors (Health Plans, MCOs, TPAs, Taft-Hartley Funds, employer groups, etc.) with a comprehensive suite of clinically validated fraud, abuse and overpayment prevention services. Our web-based payment integrity solutions are designed to help you maximize payment accuracy, identify fraud and save money. With our advanced Code Validator Pro® (rules-based) and Fraud Finder Pro® (profiling) software systems, you get better technology. With validation by our experienced clinicians and investigators, you get better results.
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Health Plans
Ensure your plan’s claims are free of fraud, abuse and waste.
MCO's
Reduce PMPM expenditures with comprehensive payment integrity.
Insurance Carriers
Control your Taft Hartley Funds’ rising costs with fraud control.
TPA's
Reduce your client’s health costs by preventing fraud and abuse.
View Service Brochure
Want more information? View and download the service brochure.
Read Success Stories
Still need convincing? Read and download customer case studies and testimonials.
Watch Videos
Rather watch a video? Check out our latest webinars, tutorials and commercials.
Request Free Trial
Ready to take the next step? Request a free trial and Cost Reduction Analysis.
