Who we serve

Together, we work with you to meet your current and dynamic business challenges.


We help you find more recoverable savings, reduce provider abrasion, quickly respond to industry changes, and maximize performance.

Learn more


We help provider organizations proactively manage risk, improve quality outcomes, optimize network performance, accelerate revenue recognition, and drive member experience.

Learn more

Technology-Enabled Services

Payment Integrity Services

Medical and Pharmacy Claims Auditing: Mitigate overpayments, maximize savings, and reduce fraud, waste, and abuse

Data Mining: Uncover savings through analytic data modeling

Subrogation: Software and services for third-party liability case management, from identification to recovery

Integrated Revenue Management Solutions

Workflow Design: An assessment of your RCM workflow

Optimal Analytics: Identifying strategies and levers improve overall workflow performance

Payment Posting: Expediting payment posts and turn-around times

Denials Management & Insurance A/R Follow-Up: Understanding denied claims and how they drive A/R days and staffing allocation

Select right. Review right. Make it stick.

6 of the Top 10
US health plans partner with us

Delivered over $1 Billion
in business value for a top 5 national health plan over the past 10 years

Gartner Peer Insights Customers’ Choice for Data and Analytics Service Providers, 2020*

KLAS Top Ranking, Risk Adjustment & Analytics, 2020

Leader in NelsonHall's NEAT for "Healthcare Commercial Payer BPS" (2019)

Major Contender and Star Performer in Everest Group's "Healthcare Payer Business 2019

*The GARTNER PEER INSIGHTS CUSTOMERS’ CHOICE badge is a trademark and service mark of Gartner, Inc. and/or its affiliates and is used herein with permission. All rights reserved. Gartner Peer Insights Customers’ Choice constitute the subjective opinions of individual end-user reviews, ratings, and data applied against a documented methodology; they neither represent the views of, nor constitute an endorsement by, Gartner or its affiliates. Gartner, Gartner Peer Insights ‘Voice of the Customer’: Data and Analytics Service Providers, 22 September 2020, Peers

Accreditation and Certification

Contact US