It's Time to Control Health Care Costs HCI provides property and casualty medical claims payors (Auto, Workers Comp, Liability, etc.) with a comprehensive suite of clinically validated fraud and abuse surveillance services designed to maximize claims administration accuracy and minimize payment waste. Each of HCI’s customizable software as a service (SaaS) solutions rely on a unique prepayment process that combines proprietary software systems with detailed review by experienced clinicians (doctors, nurses, dentists, etc.) and investigators on all suspect claims and billing patterns. HCI’s differentiated process enables payors to target fraud with greater efficiency by significantly increasing the quality of results returned while decreasing the total number of false positives.

“HealthCare Insight® has prevented the payment of over $4 million in inappropriate charges and fraudulent health care claims for our members." - Michael De Chellis OE Trust Funds Inc.

DentalClaim Insight™ PhysicianClaim Insight™

FacilityClaim Insight™ RxClaim Insight™

Case Study

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