ClaimInformatics’ Four-Steps To Success

We’ve simplified healthcare and pharmaceutical claim review and improper payment recovery processes into the four steps outlined below. At ClaimInformatics, we enjoy taking complex data and making it easy to understand. In doing so, we’re able to increase the probability that payments will be recovered because we have simple justification for reimbursements. We identify root causes so that we can jointly develop proactive programs to prevent similar errors when handling future claims. Take your claim administration program from good to great with ClaimInformatics.

Obtain unstructured raw medical claims data from the administrator or PBM

Step 1:

Data Collection

Filter & screen 100% of transaction

lines to capture true cost drivers

Step 2:

Analyze

Identify improper codings or

payment errors with hundreds

of proprietary algorithms

Step 3:

Identify

Recovery team collects &

deposits funds into your bank 

Step 4:

Recover & Deposit