Forensic Claims Solutions

We love to dig into customers’ problems and solve them. What fascinates us about Payment Integrity is the ever changing dynamic and nature of Healthcare delivery. It's hard for Payers and Providers to keep pace with all the changes. I founded Forensic Claims Solutions for Insurers to find payment errors with efficiency and speed. For insurers looking to identify contract compliance leakage, our product Sleuth will detect contract terms for your entire participating provider network. Using this information we pinpoint payment errors quickly and efficiently while working with you to stop them from happening in the future. Need help with audit concept ideation? We have developed a best in class audit concept library that can amplify your results. We have whitepapers for a multitude of concepts as well as the sequel code for each query. Need to improve and expand your chart selections? Our proprietary tools pick claims with the highest propensity for error to deliver superior hit rates. Feel free to reach out for an exploratory conversation.