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