ClaimInsight by AMPS is not just another payment integrity tool, it’s a transformative payment integrity platform designed to solve the most frustrating challenges plaguing payers and third-party administrators (TPAs): waste and abuse in medical spend, lack of transparency, costly contingency models, outdated technology, and inadequate high-dollar claim reviews.
Savings with a 160K Life Medicaid Plan
Annual Savings per 500K Members for High-Dollar Claim Review
Prevention of Overpayment
“AMPS HDR’s itemized bill review uncovered savings we didn’t know were possible and their unique approach gave us confidence in the results. We’ve seen fewer appeals and even stronger cooperation with providers since launching the service.”
Traditional payment integrity tools often fall short—focusing only on surface-level errors, using outdated rules engines, and offering little transparency behind millions in decisions. ClaimInsight breaks that mold. Backed by 25 years in the market, and over 50 years of executive expertise, we bring credibility, stability, and a deeply consultative approach tailored to your unique needs. Built by clinicians and data experts, our platform gives payers proactive control—identifying inaccuracies before payment, not after. ClaimInsight helps you:
• Reduce overpayment risk and eliminate excessive contingency fees
• Gain transparency into how every claim is assessed
• Ensure accuracy across high-dollar and complex claims
• Meet fiduciary obligations with auditable documentation and CAA compliance
We approach every client relationship as a true partnership, focusing on collaborative problem-solving tailored to your unique needs. Our team doesn't believe in one-size-fits-all solutions — instead, we bring creativity, strategic thinking, and a deep commitment to your success. By working closely with you, we craft customized strategies that drive real results, ensuring that every step we take together is designed specifically for your goals.
Key Insights from the Fireside Chat on Transparency, Trust, and the Future of Payment Integrity
Why Physician-Led Review is the Secret Weapon for Tackling High-Dollar Inpatient Claims
In a healthcare system strained by rising costs, waste and abuse continue to quietly drain billions from payer budgets
Payers today need more than a checkbox audit—they need a partner that protects every dollar with precision. Whether you’re managing Medicaid, Medicare Advantage, or commercial populations, ClaimInsight empowers you to take control of your payment integrity strategy with confidence, visibility, and results.
