Solutions to lower healthcare costs without interrupting benefits
“We believe that continual claims review is a permanent part of how we have to operate.”
“It's refreshing to work with a vendor who consistently delivers on their promises. (SmartLight) is immediately available for my feedback and customization requests, helping us continually improve and strengthen our shared payment integrity efforts for our clients.”
As a self-funded employer, you play a vital role in protecting the integrity of your healthcare program. Download our FWA 101 document to learn more about the problem, law governing healthcare regulations and how to protect your dollars.
The SmartLight team of analytics experts, data scientist, physicians and investigators is uniquely qualified to work alongside your claims administrator to resolve issues within the claims approval process. Our leadership team has a combined 50 years of experience in healthcare, data analytics and fraud investigation experience. Our team supports your benefits team and works with your established partners.
Employers operating self-funded healthcare plans shoulder the ultimate fiduciary responsibility when it comes to spending health plan dollars for employee medical care. The Department of
Ongoing monitoring analyzes 100% of healthcare claims data continually to look for issues to help employers make plan decisions.
An old scheme previously identified in Long Term Care (LTC) facilities has become routine in residential mental health settings as well. An increasing number of
