Solutions

ClaimShark, our Payment Integrity orchestration platform and AuditShark, our Payment Integrity audit platform, offer multiple modules to help Health Plans manage their Payment Integrity operations and maximize overpayment identification and recovery.

Our modules address different aspects of the Payment Integrity processes while eliminating silos. Built for the cloud, the modules can operate in tandem or independently with any of the Plans internal systems. Our data layer seamlessly connects the modules with each other and existing client platforms.

To know more about our offerings, please click on the links.

ClaimShark
Data Hub & Vendor Management
Inventory
Recovery
Provider Portal
Appeals
Letter
Document Management
Analytics and Reports
AuditShark
Overview
COB
Charts
Itemized Bills
Compliance Audits