Simplify and
Accelerate
Claims Operations.

Enhance your existing claims ecosystem with intelligence and automation to help teams streamline workflows, resolve exceptions faster, improve payment accuracy, and strengthen compliance.

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Unlock More Value from
Your Claims Core

Replacing your claims core is costly, disruptive, and can take years to deliver measurable value. Yet disconnected systems, manual processes, and fragmented data slow operations, increase costs, and create unnecessary risk.

Claims1™ extends and enhances the systems you already trust by connecting data, workflows, and decision-making across the enterprise. The result is faster claims processing, fewer errors, lower operating costs, and greater confidence in every outcome.

What if every claim was paid right the first time?

Claims accuracy shouldn't depend on catching mistakes after payments go out. Our platform catches configuration issues early, preventing errors, reducing rework, and protecting revenue.

Move from Recovery to Prevention

$50M+
Annual leakage prevented
85%
Reduction in pay-and-chase volume
Near-zero
Claim stops after group go-live

What if platform modernization took months instead of years?

Modernization doesn't have to be disruptive. Our solution helps payers accelerate transformation while reducing migration risk and uncertainty.

Modernize Without the Risk

Up to 50%
Faster migrations
60–70%
Reduction in migration cost
Controlled
Operational disruption during cutover

What if every payment was accurate, timely, and optimized?

Payment performance shouldn't depend on manual processes. Our solution helps optimize payment timing, reduce risk, and automate reconciliation.

Improve Payment Accuracy

Zero
LPI exposure events
90%+
Auto-reconciliation
$10M+
Annual working capital improvement

What if every system change came with proof it would work?

Testing shouldn't stop at deployment. Our solution validates changes before they go live, reducing defects, increasing coverage, and accelerating release cycles.

Turn Testing into a Competitive Advantage

Hours, not weeks
Regression testing cycle
10x
Greater test coverage through historical replay
80%+
Reduction in production defects from configuration changes

The Intelligence Layer for Modern Claims Operations

Your claims platform is the backbone of your business, but meeting today's demands for speed, accuracy, automation, and compliance requires more than core processing alone. Claims1™ adds an intelligent layer on top of your existing systems, helping you automate operations, reduce risk, and accelerate change without replacing your core platform.

Claims1™ Configure

Automate benefit and provider configuration to accelerate implementation, reduce manual effort, and improve accuracy.

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Claims1™ CodeSet

Streamline code set updates with automated validation, testing, and deployment to reduce operational risk and ensure compliance.

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Claims1™ ClaimsTest

Automate claims testing to increase coverage, accelerate releases, and validate changes before they impact production.

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Claims1™ Intellect

Resolve pended claims and prevent avoidable denials using AI agents trained on your organization's SOPs.

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Results That Matter

Claims1™ empowers payers to make faster, more informed decisions while reducing manual work, improving accuracy, and driving measurable financial outcomes across the claims lifecycle.

$2.3M
Saved through fewer denials and less rework
$230K
Saved by automating manual processes
$390K
Avoided in claims adjustment expenses

The Result: Faster, More Reliable Claims Operations

Claims1™ moves your operations from manual, error-prone processes to streamlined, automated workflows that reduce costs, improve accuracy, and deliver better outcomes for providers and members.

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