Our vision is to make our users meaningful beneficiaries of the generational architectural shift taking place in Information Technology today, and to address healthcare claims and payment integrity with a unified and holistic approach. We aim to simplify and democratize the Healthcare Claims and Payment Integrity Industry by creating a fully-open and transparent solution that can be built upon in a spirit of collaboration rather than cause duplication of efforts to address the more than $900 billion in administrative waste & improper payments in the U.S.
Founded in 2021, CoverSelf’s Payment Integrity Platform engages modern technologies to address payment leakage & claims inaccuracies while remaining transparent & accessible to Payers. The platform empowers payers to prevent and adapt to the ever-evolving claims & payment inaccuracies. We also help you reduce complexity and administrative costs with our unified healthcare dedicated platform.
It is purpose-built, utilizing multiple approaches to reduce administrative waste while identifying new savings opportunities. It empowers teams to configure their own policies, and logic in simple English or using simple policy-specific templates overcoming the fear of losing IP. We’ve also removed time-consuming back and forth between configurers and business users. This ensures rule logic is captured in a real sense without losing the context in the downstream processes. Innovation & new concept releases occur quickly without technical dependencies.