Wherever reimbursements happen, we are there to serve

Whom we partner with

  • Nationally-recognized players
  • Expanded lines of business
  • 5,000 to 4,000,000 members

DRG claims management has grown beyond the parameters of the hospital walls


The largest liabilities occur here and our team works meticulously to locate the claims that are likely to yield the greatest recoveries. With respect for the burden on providers, we work amicably to minimize friction and maximize savings.

Our record speaks for itself

$2 - $3M
average verified annual over-payments per 100K members.
in additional annual savings, surpassing industry standards.


RUGS or PDPM calculations drive reimbursements to our partners in the nursing home industry. Our innovative systems and skilled team ensure that plans receive the full-service auditing they are entitled to — and more.


A growing component of claims management, we are experts in the auditing of Outpatient Services. We achieve successful and timely audit results.

The secret behind our unmatched savings is no secret

  • IntelliSelect Algorithms
  • Provider Collaboration
  • Data Automation and Implementation
  • Clinical Expertise
  • Compliance
  • Flexibility and Customization
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