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ClaimInformatics provides independent payment integrity and ERISA fiduciary compliance for self-funded health plans, captive health plans, TPAs, and benefits consultants. Our ClaimIntelligence platform reviews 100% of claims through Pre-Pay and Post-Pay review to identify billing and coding errors before and after payment, returning plan assets and documenting prudent oversight. Our FOCUS platform, including CLEAR contract review, gives fiduciaries the defensible record they need to meet their obligations under ERISA and the Consolidated Appropriations Act. We are fully independent, with no carrier affiliations and no conflicts of interest.
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