Welcome to ClaimAuditor
A better way to manage your claim audits. Streamlined audit workflows, sampling, allocation, error and root cause management, with results reporting in one user friendly, web- based solution.
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Uptime and Performance
99.9% uptime, 24/7, 365
Have trouble with speed or uptime on your existing audit tool? ClaimAuditor supports enterprise service levels and large distributed audit teams.
No More Managing from Your Inbox
Automated and easy to use workflows along with role-based user accounts make it easy to track and manage your audits, teams, errors, appeals, allocation and much more.
Automate Audit Tasks
Is your QA reporting or auditor production tracking a huge snarl of spreadsheets? Not in ClaimAuditor.
Manage Audit Exceptions
Where do your appeals/rebuttals live today? In ClaimAuditor these workflows are built-in and are customizable to manage your appeals communications, uploaded documents, error codes, next steps, and root causes.
Control Your Settings
Bottlenecked by your IT support? In ClaimAuditor enjoy role-based access to user account management, department settings, application system settings — all without the need of the IT team.
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Implementation
Our Gap Analysis process helps document your current end-to-end audit workflows, communications and process steps to identify exactly what is involved with the transition to ClaimAuditor. Our experienced team works with your teams to ensure a seamless transition and that your return on investment is achieved quickly.
Support
Our world class support team is built from former claims auditors, directors, adjudicators, and IT specialists so we can communicate in your language and meet your needs. All users are able to access our training support materials or our one-on-one support from within the application.
Upgrades
Future upgrades are included in your subscription fees. Audit needs change and our ongoing upgrade process helps ensure that we stay ahead of your changing business needs.