Built for an Elevated Experience
This is where care, cost, and communication work as one. We combine deep data intelligence and innovation with clinical expertise to connect patients to the right care, help payers manage spend with confidence, and equip claim teams to act on insights. Our approach directs care early, monitors risk, and turns information into action. It also streamlines the financial journey, so everyone gets paid when and how they need to, with accuracy and transparency. Faster recovery, smarter spending, and seamless payments add up to a clearer, more supportive, elevated experience for every stakeholder.
Faster recovery
We accelerate recovery by guiding injured workers to the right provider at the right time using evidence-based protocols, nurse triage, and SmartMatch technology. From the first notice of injury through discharge, our integrated approach ensures timely care, proactive engagement, and measurable outcomes that reduce downtime and improve return-to-work rates. We continuously review claims and treatment data to flag higher-risk cases early, arming adjusters and nurse case managers with the right information to deploy clinical resources at the right moment. By combining human expertise with intelligent insights, we create a recovery journey that is faster, smoother, and more predictable for every stakeholder involved.
Smarter Spending
Every medical dollar should work harder. Our payment integrity solutions combine advanced bill review, clinical validation, and strategic negotiations to eliminate waste and control costs without compromising quality or compliance. We tailor strategies by state and bill type, ensuring the right mix of network and negotiation solutions for maximum impact. When contracts underperform, we leverage fair-market benchmarking and negotiation expertise to establish appropriate rates. We also quantify incremental savings at different reconsideration levels, giving clients the ability to calibrate strategies based on their appetite for provider noise. The result: sustained savings, stronger provider relationships, and a smarter approach to cost management.
Optimized Payments
We simplify the financial side of care with secure, electronic payment solutions that reduce administrative burden and speed up reimbursement. By integrating payment platforms with bill review systems, we deliver accuracy, transparency, and convenience, strengthening provider trust and improving the overall claims experience. Our process ensures that authorizations are clear and complete, minimizing delays and unnecessary back and forth. Fast, reliable payments mean providers can focus on patient care instead of paperwork, while payers benefit from streamlined workflows and fewer inquiries. When payment is easy, partnerships thrive and that is exactly what our optimized approach is designed to achieve across the entire care ecosystem.
Insights Management
We combine the industry’s most comprehensive data with a relentless philosophy of innovation-driven thinking across every part of our business. We turn data into a strategic asset that drives measurable results. With more 500M bills processed and 13 petabytes of integrated claims and clinical data, we deliver the deepest healthcare insights in the industry. Our analytics platform powers Provider 360° intelligence, revealing performance, billing patterns, and outcome predictors across the entire network. From treatment protocol optimization to progress prediction models, our insights help stakeholders make faster, smarter decisions. The result: stronger outcomes, lower costs, and a more connected experience.