With nearly 20 years of industry-leading experience, ClaimInsight by AMPS has redefined the standards of payment integrity. Our solution is built on a legacy of innovation and dedication to healthcare payors, delivering unmatched accuracy and efficiency in every claim review.
Our extensive Payment Policy library and cutting-edge automated rules engine ensure that claims are processed with precision, while our signature Medical Bill Review (MBR) service provides an additional layer of scrutiny. Led by experienced physicians, our signature MBR process combines automated systems with expert clinical reviews, ensuring meticulous accuracy and compliance.
This comprehensive approach not only safeguards your financial health but also enhances operational efficiency, driving substantial savings and improved outcomes.
Delivering results is paramount, especially in an environment where precision and cost-efficiency are critical. ClaimInsight consistently achieves substantial financial outcomes, saving health plans an average of $5 million per 100,000 members annually. Through our robust prepay claim editing library and our advanced automated rules engine, ClaimInsight processes claims with unmatched speed and accuracy, effectively reducing overpayments and minimizing administrative expenses.
Trust in a solution that drives financial success and ensures operational excellence.