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Reducing employer
health care costs

Eliminate fraud, waste and abuse
in health care claims

Learn More

Lower your self-insured employee health care
spend without interruption of benefits.

SmartLight combines AI and clinical expertise to identify and eliminate fraud, waste and abuse in self-funded employer health plans.

 – The SmartLight solution works behind the scenes and requires minimal employer involvement.

 – Employee benefits are not disrupted, and behavior changes are not required.

Our efforts reduce employer healthcare costs by a bar-setting 3 to 5 percent.

SmartLight differs from the competition by ensuring overpayments are refunded back to the plan.

Claims administrators have a conflict of interest when they are paid to both properly pay claims and then additional fees for any errors found later.

SmartLight works with all carriers and TPAs to ensure payments from the plan are solely for the benefit of the plan members, enabling clients to uphold fiduciary obligations.

We believe that continual claims review for fraud, waste, and abuse is a permanent part of how we have to operate.
Nathan Gregory,
HR Director for The City of Fort Worth