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.

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.

Michael Riemer has been appointed Chief Operating Officer at ClaimInformatics, following a ten-month engagement that delivered nearly $1M in annual cost reductions, 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—eliminating TPA conflicts, reducing medical waste, and ensuring ERISA-aligned payment integrity.

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 what happens when prices render healthcare inaccessible. Yet, it seems...

To protect their networks and bottom lines, health insurers don’t aggressively pursue widespread fraud, making it easy for scammers. Then...

Georgia's insurance commissioner has fined Blue Cross Blue Shield $5 million for violations of state laws and agency rules and...

We’re excited to announce that Stephen Carrabba, our President and co-founder, was featured in the most recent edition of The Self...