99% accuracy claimed. 1.4% errors admitted. Millions missing. UnitedHealthcare recovered $922M for self-funded clients in 2022, and kept up to 35% of those dollars. The Aetna/Optum 'dummy code' settlement. Cross-plan offsetting. Spread pricing. Here's what carrier self-reporting actually looks like.

Your TPA's dashboard shows you what was paid. It doesn't show you whether it was paid correctly. Stephen Carrabba joins the PLANSPONSOR Roadmap 2026 Livestream Series to walk plan sponsors through the questions carriers would prefer they didn't ask.

Michael Riemer has been appointed Chief Operating Officer at ClaimInformatics, following a ten-month engagement that delivered nearly $1M in annual operating efficiencies, a redesigned claim review engine, generative AI deployment, and the launch of CLEAR™.

Our CEO, Stephen Carrabba, will be on stage at the NABIP Texas Annual Symposium in Tyler (May 8). Fiduciary accountability in self-funded health plans is no longer theoretical.

Self-funded plans have more claims data than ever. But can they actually use it? Our CEO, Stephen Carrabba, joins a panel of industry leaders at the 2026 SIIA Healthcare Price Transparency Forum.

ClaimInformatics and Detego Health restore fiduciary trust with truly independent pre-payment claim review. This eliminates TPA conflicts, reduces medical waste, and ensures ERISA-aligned payment integrity.

Excited to see Employee Benefit News highlighting Stephen Carrabba, ClaimInformatics, Inc., and Jamie Greenleaf, AIF, CBFA, C(k)P, Fiduciary In A Box, contributed article entitled "Benefits Think: When 'shared savings' really means shared conflicts." The article highlights that shared savings may sound like a cost-containment measure, but they often mask conflicts of interest. The Tiara Yachts case shows why fiduciaries must demand transparency, independent oversight, and tru

On September 3, 2025, the U.S. Department of Health and Human Services unveiled a major enforcement initiative targeting practices that restrict patient access to their own electronic health information (EHI).

Employers and employees alike have witnessed the consequences of making healthcare inaccessible. Yet, it seems the costs of health plans, hospital visits, treatment, and drugs are not taking a dive anytime soon. In just the last year, medical debt has grown to $140 billion nationwide, according to the American Medical Association. This is only bound to rise as healthcare costs continue their upward trajectory. The Centers for Medicare and Medicaid Services reported that in 19

To protect their networks and bottom lines, health insurers don’t aggressively pursue widespread fraud, making it easy for scammers. Then they pass the costs off to you. Like most of us, William Murphy dreads calling health insurance companies. They route him onto a rollercoaster of irrelevant voice menus, and when he finally reaches a human, it’s a customer service rep who has no idea what he’s talking about. Then it can take days to hear back, if anyone responds at all. The

Martand Bhatt's parents weren't sure he needed immediate medical care when the energetic toddler burned his hand on the kitchen stove one April morning. Dhaval Bhatt, Martand's father, said he'd been warned about emergency rooms in hospitals after he arrived in the U.S. from his native India. "People always told me to avoid the ER in America unless you are really dying," said Bhatt, a research scientist and pharmacologist at Washington University in St. Louis. But after seein

We’re excited to announce that Stephen Carrabba, our President and co-founder, was featured in the most recent edition of The Self Insurer Magazine in an article entitled, The Rebirth of Health Care Consumerism, eloquently written by Bruce Shutan. Among other obstacles in health care, the article comprehensively describes how physician practices, health systems, surgery centers and others are encouraged to over-bill, by high-priced consultants who promise that implementing ev