The One & Only Payment Integrity Platform anyone Will Ever Need.

CoverSelf’s healthcare-specific, next-gen, cloud-native, and customizable claims accuracy platform is built from the ground up using modern software development techniques. It empowers user's long-term success by smoothly adapting to ever-evolving, dynamic claims and payment inaccuracies, reducing complexities and administrative costs.
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Payer
CoverSelf’s Payment Integrity Platform engages modern technologies to address payment leakage & inaccuracies while remaining transparent & accessible to Payers.
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Provider
CoverSelf’s Revenue Integrity Platform is an integrated, unified & customizable solution for all types of provider revenue cascade. This platform’s objective is to empower the HIM & RCM departments to increase clean claims rates on the first pass and to reduce revenue loss & administrative waste.
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Partner
This platform provides open access to all Partners working to address claims inaccuracies, administrative waste & inefficiency, enabling them to build, customize, innovate & release at a faster pace.
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Who can use our product

Payer
Provider-owned health plans
TPA
ASO
MSO
Payment Integrity Partners

“We’ve done it, so you don’t have to”

Payment Integrity platform

Healthcare & Domain
Specific Platform
A purpose-built, fully- customizable platform with industry pre-configured code sets & reimbursement payment policies/scenarios with auto-updates, built for payment integrity.
Simplifies Ideation and Customization
Helps create new scenarios & data mining algorithms, innovating products, and expediting customization through this purpose-built platform and increases speed to innovation. 
Comprehensive Platform
Integrated Rules Library Management System with Workflow, Audit & Exception Management
Payer-Specific Claims Auto-Correction
Claims are corrected and processed automatically - ensuring that there’s no additional human intervention or effort required. Configuration errors, if any, are identified quickly to streamline workflow processes.  
Invites Flexible Innovation
An intuitive, easy-to-write rules scripting language that empowers all Domain Users with more control, removing technical dependency and increasing speed.
Transparent & Efficient
Open and thoroughly transparent Platform designed explicitly for healthcare claims accuracy, faster releases, self-customizations, & integrated workflows.
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“Our partnership is a critical step in establishing a tech platform that is singular for us... that enables ease of use and management of patients, staff, and new companies that can come in to join us on our journey to health assurance.”
Mathew Wade
CTO, Miles Technologies

Read our blogs

Coding Guidelines & Updates

Everything You Need to Know About the ICD-10-CM April 2023 Update

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Ready to try CoverSelf?

Take control of your Payment Integrity solutions today, with CoverSelf.
Want to know how?
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Catch us at
Nov 6
-
9
,
2023
NHCAA Annual Training Conference
Hyatt Regency, Dallas, Texas.
We are at Booth #702 at the Marsalis Exhibit Hall.
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