Bluespine
for Carriers
AI-powered, evidence-based, payment integrity technology to reduce claims costs and prevent FWA
Unmatched Payment Accuracy at Scale
Bluespine’s payment integrity platform utilizes a range of complex data sources - provider contracts, Machine Readable Price Transparency Files (MRFs), and carrier billing guidelines - to detect policy and contract violations that result in higher overbilling detection.
A payment integrity platform that eliminates false positives
Our proprietary AI-powered claims review process generates precise, deterministic rules to flag overbilling, producing defensible evidence and references to the exact source paragraphs violated.
Your one stop shop for claims cost containment
Eliminate blind spots and recover losses using one centralized platform
Minimize financial leakage
Leverage AI to improve overbilling detection capabilities and identify FWA cases that legacy solutions miss.
Reduce provider abrasion
Minimize provider friction and prevent future mistakes by citing specific policy clauses and presenting indisputable overbilling evidence based on payer guidelines, provider contracts, and CMS rules, and more.
Boost operational efficiency
Create more opportunities for claims cost savings, while increasing productivity and reducing the need for investigations.
Boost operational efficiency
Create more opportunities for claims cost savings, while increasing productivity and reducing the need for investigations.
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