Audit (Claims Audit)
Replay historical claims against contract logic to surface underpayments and wrongful denials with full traceability to the clause.
What it does
Replay historical claims against contract logic to surface underpayments and wrongful denials with full traceability to the clause. No sampling.
- Recover underpayments
- Overturn wrongful denials
- Catch issues before claim submission
- Optimize contract terms and benefit logic
- Category
- Healthcare revenue cycle
- Built for
- Healthcare and life sciences
- Users
- Hospitals & Groups, Payers, Value-Based Care, Self-Funded Employers
- Public API
- Not offered
Not yet disclosed: deployment options, platforms, languages and support channels.
Pricing
- EnterpriseCustom
- Quoted by their sales team
Prices as published by Benchify, checked Oct 2026.
Security and compliance
As reported by Benchify. Ask for audit reports before you buy.
- SOC 2 Type ICompliant
- HIPAACompliant
- multiFactorAuthentication
- encryptionAtRest
- encryptionInTransit
- auditLogging
- breachNotificationProcess
- penetrationTesting
- vendorManagementProgram
- businessAssociateAgreements
- accessManagementPolicy
- accessRevocationProcess
- passwordManagementPolicy
- dataInventoryMaintained
- dataRetentionPolicy
- secureDisposalProcess
- disasterRecoveryPlan
- automatedBackups
- dataRecoveryTested
- dmarcPolicy
- endpointSecurityAntiMalware
- firewallOnEndpointDevices
- mobileDeviceManagement
- infrastructureSecurityScanning
- configurationManagementSystem
- webApplicationFirewall
- vpnUsed
- incidentResponsePolicy
- assetInventoryMaintained
- riskAssessmentsPerformed
- vulnerabilityManagementPolicy
- automatedPatchManagement
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