Sending out letters is an integral and essential part of the Payment Integrity process. Letters need to be customized by concept like a chart request letter related to a chart audit or a COB information request, or as part of the process for example recovery or appeal resolution letters. The complexity increases when a plan operates in multiple states, multiple lines of business (LOBs) and with multiple mail vendors. The need to better manage the letter formats, the logos, addresses, and contact information adds to the complexity.

ClaimShark Letters module helps you create letter templates by state, LOB, edit etc., and helps you manage changes and updates. As easy as editing a word document, users can make changes, update letters and attach customized templates to concepts like COB or DRG.


  • Increase compliance
  • Improve efficiency
  • Streamline operations