Using inferential analytics to identify outliers in healthcare claims data and a team of fraud and healthcare experts to verify findings, SmartLight Analytics delivers a solution customized to employers with self-funded healthcare plans and their unique member population.
Our multi-step solution brings savings directly to employers by:
Identifying and analyzing instances of fraud, waste and abuse or error in medical, pharmacy and dental claims.
Coordinating and partnering with claims administrators to return overpaid funds back to health plans.
Implementing steps to prevent future fraud, waste and abuse from being spent in the first place.
Savings are found by approaching the data objectively, without preconceived notions about where the errors exist and by working together with TPAs and benefits managers.
To see how our process works, request a demo today.
SmartLight is our best partner. They are truly a data-driven organization who can provide what we need -- true data analytics on our health plan. We have such a good relationship with Asha and the team. We feel like it’s a partnership and they’ve come through for us when we needed it.
- Nathan Gregory
HR Director for City of Fort Worth