Claims Audit Tool

The Claims Audit Tool (CAT) is designed to be used in the Claims Audit departments of organizations paying healthcare claims. CAT streamlines the claims audit workflow and reporting process. It has a user-friendly frontend and powerful relational database backend. Clients use CAT to facilitate pre- and post-payment claims audits. CAT greatly enhances the productivity and effectiveness of claims audit units, facilitates and automates error identification, and helps to create a robust audit process that can save an organization millions of dollars each year.

  • Automate routine pre and post payment claims audits
  • Automatically post corrections to erred claims in your core claims system
  • Fully customizable audit filters/rules and flags
  • Comprehensive reporting capabilities
  • User friendly and intuitive for auditors

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