Let's Fix
The billions wasted
on place-of-service errors
Place-of-Service Intelligence
for Self-Funded Plans
Control Healthcare Costs Without Compromise
We work with third-party administrators to help self-funded health plans detect place-of-service errors and recoup over-spend. By combining customer service capabilities with claims audit techniques, we engage with your members and identify errors. Your members get the quality healthcare they deserve and you get peace-of-mind knowing that the bill was accurate.
1 in 3 Claims Dollars
A landmark study by HHS observed 37 physicians and 83 hospitals over 33 months and what they found was shocking: 29.7% of all dollars billed had incorrect place-of-service coding. [1]
[1] U.S. Department of Health and Human Services (hhs.gov)
Why This Matters
Detecting and correcting these errors is a great way to save money. A single place-of-service error alone can cost a self-funded plan thousands of dollars. Over a fiscal year, a self-funded health plan could be losing millions.
Our Solution
We combine world-class customer service with claims auditing to connect with members and verify the correct place-of-service. Meanwhile, our AI works behind the scenes to help predict where errors are likely to occur.
Engage: we engage with your members to promote the program and drive results
Connect: your member schedules a medical appointment, and we reach out to collect relevant details
Verify: the provider issues a claim and you are able to verify correct place-of-service and address errors with the provider
Learn: our cutting-edge AI works behind the scenes helping us predict where place-of-service errors will likely occur
What We Do
Our service does the heavy lifting so that health plan administrators can focus on other things
Who We Are
We understand the burden of increasing healthcare spending and we want to take action
