ClaimShark, our Payment
Integrity orchestration platform and AuditShark, our claim audit platform,
multiple modules to help Health Plans manage their Payment Integrity operations.
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. Click here for an overview of our
Despite the best
Health plans leave money on the table when it comes to Payment Integrity.
Plans lose millions of dollars to expired claims after doing all the work.
Claims with valid overpayments sit in the recovery and offset status and
due to lack of resources or focus. Your valuable PI team members may be
on tasks that are necessary, but below their pay grade or expertise
ClaimShark can help
and velocity of your savings. Our technology and tools along with your
can increase and accelerate your Payment Integrity savings. To know more about
our services Visit our
How to leverage data to help
move savings from post pay
to pre pay
How data can help lower provider abrasion
A Medical plans roadmap to