Health Care Insight

Start paying your vision claims the right way.
Stop fraud, ensure accuracy and save money.

VisionClaim Insight® is a prepayment fraud, abuse and overpayment prevention service. It’s designed to help you improve claims payment accuracy, detect fraudulent providers and reduce vision claims costs. By combining our advanced Code Validator Pro® (rules-based) and Fraud Finder Pro® (profiling) software systems, you get access to better technology. By relying on our experienced clinicians for suspect claim and provider validation, you get better results.

HCI goes to bat for the client and the patient to be sure the provider is being fair and just Orlo L. "Spike" Dietrich The Ansley Group

The Problem

An estimated 3% - 10% of the national outlay for ancillary care, Including, vision care, is lost to fraud and waste annually. By 2013, losses could exceed $8 billion. That's a loss of $22 million daily.

The Solution

Pay Right. Save Money

Stop vision claim fraud, abuse and waste. Increase profits and payment accuracy.

Get a Clinician. Get Results.

Our clinical validation process delivers less false positives and better results.

Save Time. Go Prepayment.

Avoid “pay and chase” detection with prepayment analysis on 100% of claims.

Smart Models. Smarter Software.

Get access to the most advanced fraud models and SaaS applications available.

Better Support. Better Service.

Get help from licensed nurses and coders. Get appeals support, reporting and more.

Total Customization. Totally You.

No two payors are alike. Customize your fraud solution down to the last bit and byte.

Real Fast, Real-Time Processing.

You don’t have time to hold up processing. Get real-time protection with real results.

Fraud and Editing. All in One.

Unilke others, we bundle supplemental editing and fraud prevention in one solution.