ClaimInsight Retro Recovery (RRR) helps self-funded employers uncover hidden overspend and recover dollars from already paid claims—delivering a smarter way to protect your bottom line while supporting your workforce.
AMPS, ClaimInsight’s Retro Review & Recovery (RRR) Program goes back—so your self-funded plan can move forward. With no disruption to your operations, RRR reviews up to three years of paid claims, helping self-funded employers recover 3–6% of total healthcare spend lost to billing errors, overpayments, and administrative mistakes.
Pair RRR with Continuous Recovery & Review (CRR) for a comprehensive approach. While RRR captures past overspend, CRR audits recently paid claims on a monthly or quarterly basis—yielding even higher recovery rates and preventing leakage before it snowballs. Together, they deliver deeper savings and continuous claims integrity.
Whether you're looking to boost savings without switching vendos or enhance your current payment integrity strategy, RRR gives your orginisation the power to:
Unlock additional value from past months or years of claims.
Focused reviews on high-dollar, high-volume categories.
Our team handles the heavy lifting with little effort required from your benefits staff.
Use RRR as a second pass without stepping on toes
Want to go a step further? Pair RRR with our prepay editing and high-dollar review capabilities:
High-Dollar Review (HDR): Physician-led audits ensure large claims are medically and financially accurate.
Intelligent Policy Updates (IPU): 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.
Our solutions deliver $1.25–$2 million in savings per 5,000 employees—putting real dollars back into your plan.
For credibility and defensibility.
All savings, No friction.
Pair RRR with CRR to capture savings from both past and recent claims.
“ClaimInsight Retro Recovery gave us a fresh layer of savings—without changing our existing partners or systems. It's like finding money we didn’t know we lost.”
– Benifits Director, National Employer
Healthcare costs are rising—but so are overpayments. Let ClaimInsight Retro Recovery show you what’s hiding in your past claims—and extend your savings with Continuous Recovery & Review (CRR) to ensure errors don’t creep back in. Together, they help you reclaim more, faster—with less ongoing leakage.
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