Cutting edge, cloud-based technology platform enabling efficient claim reviews and clinical data extraction.
Complex Claim Reviews Simplified
The TrueCost Platform provides quick and efficient claim reviews with turnaround times on average less than 15 minutes. With full transparency into the process, payers of all sizes are transforming their payment integrity and risk adjustment programs.
Accelerated by Powerful Technology
ClaimLogiq’s Operational Routing and Rules Engine
Advanced Machine Learning NLP Technology
Rapid Optical Character Recognition
ClaimLogiq’s Operational Routing and Rules Engine can pay or pend claims in under 400 milliseconds, producing defensible results backed by provider-specific and payer-mandated rules.
CORRE executes data manipulations, corrections and any cleansing required when gathering information.
CORRE will perform grouping functions and use the outcome as either the source or as a comparative data set.
During the claim-selection process, CORRE excludes any claims determined to be ineligible based on your program criteria.
CORRE executes on our library of selection rules to target claims for review that will maximize savings.
Because claims can hit multiple rules, CORRE scores the claims and makes them proceed through smart routing to the right person, every time.
CORRE houses our R&D rule-testing engine where we continuously create, evaluate, adjust and test our selection to provide results payers need.
Natural Language Processing (NLP)
We’ve programmed our Advanced Machine Learning NLP technology to read, understand and interpret clinical language in a matter of minutes, resulting in the ability to quickly extract and organize medical data from an individual’s episodic health record.
Turns complex health documentation into structured data, enabling more efficient pre-pay reviews.
Extracts valuable health insights within unstructured and structured data to ensure the most complete and accurate results.
Helps reviewers more efficiently identify inaccurate payments and billings with insufficient documentation, protecting your bottom line.
Our Rapid Optical Character Recognition tool translates any itemized bill or medical record into quality, text-searchable claim data.