WellRithms

Healthcare Pricing Transparency Starts With You

Send Us Your Bill

WellRithms is a master of payment integrity using AI-powered technology to empower real physicians, bill review specialists, and legal professionals to bring clarity and control to healthcare reimbursement. We are an innovative team of data-driven industry experts specialized in reviewing and repricing self-funded group health and workers’ compensation medical bills. We identify billing errors, challenge abusive practices, and uncover potential fraud — all to protect the financial integrity of your health plan.

We Bring Fairness to Healthcare Billing

WellRithms is the change. With over 20 years of experience, WellRithms is a trusted leader in medical claims review and healthcare reimbursement solutions. Watch the video to learn how WellRithms is redefining fair and transparent healthcare pricing and how you can be part of this transformative journey.
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Employers & Executive Leadership

Being a self-insured employer isn’t an easy option—but it gives you greater financial control over your healthcare spend. By directly funding your employees’ health benefits, you avoid skyrocketing premiums and break free from carriers that limit transparency and flexibility.

  • Skyrocketing healthcare claims with limited visibility or control

  • Overreliance on PPO networks that offer weak discounts and little transparency

  • Inaccurate or inflated medical bills driving up costs

  • Struggles with budget predictability and managing financial risk

  • Exposure to balance billing and member dissatisfaction

Be empowered and take ownership of your health plan strategy by partnering with WellRithms to reduce risk, balance cost control, increase predictability, and lower overspending in your budget.

Partner With Us

Brokers & Consultants

As the trusted advisor, health insurance brokers and benefit consultants deliver data-driven strategies to ensure health plans protect both the employer and their workforce.

  • Difficulty demonstrating real ROI from plan design and network recommendations

  • Pressure to balance cost savings with employee satisfaction

  • Overreliance on outdated networks or flawed reference-based pricing (RBP) models

  • Clients frustrated by unexpected balance bills or “surprise” charges

  • Growing demand from clients for cost control strategies beyond carrier discounts

Stay ahead and prove the value of your strategy by partnering with WellRithms to identify, prevent, and reduce unnecessary costs that eliminate budget overspending.

Work With Us
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Third-Party Administrators

Third-party administrators (TPAs) play a critical role in managing the day-to-day operations of self-funded health plans. They handle claims processing, coordinate with stop-loss carriers, and ensure regulatory compliance—all behind the scenes.

  • Difficulty verifying complex medical bills or challenging egregious charges

  • Limited tools to validate billed charges or challenge excessive pricing

  • Increasing need to prove value to brokers, employers, and stop-loss carriers

  • Frustration with provider network limitations and unpredictable repricing outcomes

  • Administrative overload from disputes, appeals, and member complaints

As a key partner to self-funded employers, partner with WellRithms to gain operational expertise and data-driven insights that are instrumental in driving client satisfaction, retention, and financial performance.

Connect With Us

Latest Case Studies

In an out-of-network review and repricing of assistant surgeon charges WellRithms unmasked the hidden main procedure. Group health bill of $172,982 was reduced to $1,064, representing 99% savings.

Disguised Primary Procedure

For an out-of-network bill review and repricing, WellRithms reduced a podiatrist’s $49,000 group health bill to $1,500.

A Step In The Right Direction

An injured worker in Nebraska required air ambulance transport for 125 miles. WellRithms found inflated charges exceeding $79,000 in the workers’ compensation claim for $93,500. The final payment of $14,135 (15% of billed charges) was disputed by the provider but upheld in arbitration.

Inflated Air Ambulance Charges

How WellRithms’ review uncovered excessive charges for two related medical bills in a workers’ compensation case.

Reducing Inflated Costs

The Crisis of Medical Overbilling

This white paper examines the root causes of medical overbilling, exposes the limitations of Preferred Provider Organization (PPO) discounts, why Reference-Based Pricing (RBP) is ineffective, and how WellRithms protects group health and workers’ compensation payers using AI-powered data, technical, medical, and legal expertise.

Read This White Paper
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Shield Indemnification™

Discover how WellRithms’ Shield Indemnification™ is revolutionizing the approach to medical bill repricing and dispute resolution. Our innovative service is the first in the industry to confidently take on the risks associated with medical billing, offering unprecedented protection and peace of mind to our clients. It’s to transfer the risk and for you to never look back again.

Easy to Work With WellRithms Brokers

In this comprehensive guide, we walk brokers through the step-by-step process of submitting claims for review to WellRithms. Our goal is to make it as easy as possible for brokers to work with us, ensuring that you can provide the best service to your clients without any roadblocks.