Health Plans
Every request, appeal and bill read in full and cited inside the clock; clinicians and reviewers decide.
Every criterion shown met or not met, with the page that proves it.
1-min demoUtilization Management AutomationNo missed 72-hour or 7-day deadline, and the yearly metrics from the same data.
1-min demoAppeals & Grievances ManagementEvery appeal decided on time, with the full file read and what is new marked.
1-min demoMedical Policy SearchThe criteria that apply, with the policy section and version that say so.
1-min demoItemized Bill ReviewEvery charge line reviewed, not a sample, and each finding signed by an auditor.
1-min demoProvider Contract ManagementThe right rate or clause in seconds, cited to the contract page that sets it.
1-min demoNo Surprises Act Dispute ManagementEvery dispute checked for eligibility and answered with rate evidence on time.
1-min demoProvider Directory AccuracyStale listings found and fixed before a member is sent to the wrong door.
1-min demoBenefits Inquiry AutomationCoverage questions answered while the caller waits, each cited to the plan.
1-min demoHealth Plans.
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