ClaimInsight is a comprehensive payment integrity suite designed to help TPAs protect self-funded clients with unmatched speed, accuracy, and savings. The suite includes two powerful tools—High-Dollar Review (HDR) and Itemized Payment Unit (IPU)—that can be used together or independently based on your goals.
Begin your journey with HDR to capture significant savings on high-dollar claims today, while we analyze and prepare for IPU deployment—enabling deeper, long-term savings tomorrow. Whether you need immediate impact or sustained improvement, ClaimInsight flexes to meet your strategy.
Our intelligent editing engine uncovers inaccuracies and billing errors before payment is made—helping TPAs reduce medical spend and defend every decision with confidence.
ClaimInsight HDR offers rapid implementation, customizable thresholds (starting at $25K), and can work as your primary editing solution or a second-layer safeguard that catches what others miss.
TPAs need to prove value. ClaimInsight delivers it—improving claim accuracy, minimizing overspend, and giving TPAs a competitive edge through transparent, results-driven performance.
“Payment integrity isn’t just about catching errors—it’s about helping TPAs deliver on the promise of smarter, more efficient healthcare.”
– Matt Akromis, VP, ClaimInsight
See how ClaimInsight can help your organization reduce waste, impress self-funded clients, and ensure claims accuracy—without overpaying for legacy tools.
Tell us a bit about yourself, and we’ll connect you with a ClaimInsight expert.
