ClaimInsight helps brokers offer a modern solution for claims accuracy—uncovering billing errors, overcharges, and non-compliant claims before they drain client budgets. Our editing engine catches what others miss.
ClaimInsight’s prepay editing and High-Dollar Review (HDR) fit seamlessly into your clients’ existing claims systems, delivering rapid, physician-led insights that reduce medical spend—without adding more admin work.
Your clients count on you to recommend tools that work. With ClaimInsight HDR over 95% of findings are upheld, delivering defensible, data-backed outcomes that reinforce trust and minimize disputes or appeals.
Physician-led line-by-line reviews to catch costly errors and overcharged bills on high-dollar claims
IPU automates the pre-pay application of the rules, its not about keeping the rules sharp - keeping them sharp and up to date is table stakes
Minimize appeals and reduce friction
Real savings with below market contingency rates
“ClaimInsight empowers brokers to deliver real value - not just cost containment, but client confidence”
– Jonathan Jeffress, COO, AMPS
ClaimInsight gives you the competitive edge to deliver smarter, more efficient cost containment to self-funded plans. Share a few details, and we’ll connect you with a ClaimInsight expert to explore how you can bring greater accuracy and value to your clients’ payment integrity strategy.
