Driving Integrity & Transparency to
Healthcare Reimbursement

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WHO WE ARE

WHO WE SERVE

WHAT WE DO

WHY WE DO WHAT WE DO

WellRithms is the industry leader in healthcare cost-containment reimbursement methodology for the commercial and self-funded markets.  

WellRithms proudly serves both healthcare payers and providers.  Our services extend to payers of all types including insurance carriers, third party administrators, and self-funded employers in the areas of Group Health, Workers’ Compensation and Auto Liability. To providers of healthcare services, we ensure accurate and fair reimbursement.

We bring healthcare reimbursement integrity and transparency to the entire healthcare industry, including patients, payers, and providers. We utilize a reimbursement methodology that includes advanced medical experience, legal acumen, data analysis expertise, and quantum meruit to review medical bills and determine the right price for medical services rendered.

Our vision is to transform the model of medical reimbursement and to expand commercial and self-funded health plan options beyond traditional networks.   For the payer, WellRithms detects and eliminates errors, fraud, and abusive billing practices.  For the provider, WellRithms champions appropriate and equitable reimbursement for services.

"We believe that claim care is as important as patient care."

~Anna Quarum, COO

Ask About the WellRithms Savings Guarantee

WellRithms guarantees you will pay for what is fair and accurate.

We are backed by a captive insurance company that allows for the transfer of all legal and financial liability from the payer to WellRithms; thereby, guaranteeing the recommended payment amount.  Shield Indemnification protects the plan and the member from the adverse impact of balance billing practices.  Provider balance billing and collection threats are ineffective and unenforceable.

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Stop Overpaying for Healthcare

WellRithms repricing is not an arbitrary percentage of Medicare or other benchmarks.  Rather, our methodology is based on the common law principal of quantum meruit: as much as deserved.  WellRithms determines a fair and reasonable reimbursement rate by analyzing what the provider generally accepts from all payer sources including commercial, federal, and private payers. 

Audit

Harmony™ & Melody™ Classification, Edits, & Audits systems reliably catches errors and overcharges at the line level. 

Reprice

Harmony™ & Melody™ reprice bills line-by-line ensuring fair and accruing reimbursement, backed by case law.

Guarantee

Through Shield Indemnification™ provider threats for additional payment are unenforceable.

BOLD   |   SMART   |   PROGRESS   |   HUMAN   |   EXPERIENCED