01
A health plan administrator sends claims data to Healthalytica℠ via an encrypted, HIPAA-compliant connection
02
Data is processed with our Insight Engine technology and finds a $375 claim for a ‘Comprehensive first-time office visit’
03
Claims history is checked, and shows this is an established patient, with many prior visits to this doctor’s office
04
Claim is denied. Doctor resubmits claim for ‘Established patient – routine office visit’ for $175
Such Successes Can Be Duplicated Thousands of Times Per Claims Run
