Bluespine
for TPAs
Stand out in the crowd with AI-powered, evidence-based, payment integrity technology to reduce claims costs and deliver more value to your clients
Unparalleled Precision in Payment Integrity
Bluespine’s payment integrity platform leverages diverse data sources—such as Summary Plan Documents (SPDs), fee schedules, and carrier billing guidelines—to scalably identify policy and contract violations, driving improved detection of overbilling.
Achieve more savings with advanced claims reviews
Our proprietary AI-driven platform creates accurate, rule-based criteria to identify medical overbilling. It delivers robust evidence and pinpointed references to the specific source paragraphs in question, ensuring actionable and defensible insights.
Enhanced Precision, Greater Efficiency
Prevent unwarranted payments and generate savings with Bluespine
Increase savings for customers
Leverage AI to set a new standard in payment accuracy that goes beyond industry benchmarks, and help employers save up 10% on top of network discounts.
Streamline your workflow, at scale
Swiftly deploy Bluespine in your payment integrity stack to generate client-specific rules tailored to their plan’s unique designs - without increasing headcount or impacting existing workflows.
Offer ERISA compliance as a service
Help your customers demonstrate prudent use of plan assets to avoid ERISA lawsuits and meet their fiduciary obligations.
Boost operational efficiency
Create more opportunities for claims cost savings, while increasing productivity and reducing the need for investigations.
Start Saving Money Now
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