Changing the Future of Payment Integrity
We’re bringing transparency into focus—taking a stand against the murky waters of healthcare billing to eliminate systemic errors that fuel both soaring health plan costs and our nation’s mounting medical debt.
Move Beyond the Current Reality of Payment Integrity
Gain Visibility into Claim Errors
Strengthen Provider Relationships
Empower Your Team
Audit Management Technology
- Develop & manage edits without IT support
- Customize letter templates in real-time
- Track workflow performance from start to finish
We believe in accuracy and transparency
We are stewards of transparency, uncovering details of claim discrepancies that others choose to shroud.
Payment Integrity Services
Making the same errors repeatedly and expecting different results is insanity. Einstein said it—we just agree. We’ll review your current process and audit scenarios to develop a plan for success.
Payment Integrity Consulting
Your internal team is so much more than a recovery center. From training and education to technology and scale, we’ll help them transform into an intelligence powerhouse other vendors can’t compete with.
Audit & Recovery Services
Don’t want to bring payment integrity in-house? Elevate your payment process with confidence. Our best-in-industry algorithms result in a 98% IRO-agree rate with our initial determinations.
Powered by People
- Articles
- Articles
- Articles
Open intelligence for forward-thinking health plans
We embrace a philosophy of “Open Intelligence,” a unique approach that embodies our commitment to transparency, where we reveal the “behind-the-scenes” of regulatory and payment integrity success—secrets that traditionally remain confined within the walls of vendors.
$90M
We’ve identified Federal and State carve-outs valued at $90M
$200M+
We’ve identified over $200M in HCRA payment errors.
98%
Our IRO agree rate is is 98%
Experience the best in audit management software
See how ClearBridge is raising the bar—and redefining audit management software for health plans.
