Validating
Proven Results
In Healthcare Billing
Through Advanced Data And Physician-Led Validation, WellRithms Delivers Precise, Defensible Payment Integrity For Medical Bills & Claims
Case Study
Police Officer's Hospital Bill
How We Saved Over $570,000 on a Police Officer’s Hospital Bill.
Case Study
$101,750 Saved
Implants were only part of the $135,000 bill that was ultimately reduced to a recommended payment of $32,250.
Case Study
Reviewed 328-pages
How One Payor Eliminated $4.4M in Overcharges and the Risk That Came With It
Infographic
Strategies for brokers
For brokers are urgently seeking cost-containment solutions to combat rising premiums.
Where We’ll Be
NABTU
North America's Building Trades Union Legislative Conference
Washington, DC | April 19 – 22
This event is an important opportunity to engage with policymakers, industry leaders, and fellow union members to discuss the future of our skilled trades and workforce development initiatives. Join Michael Berry, Charles Greenawalt, and Rachel Goulet to discuss opportunities, collaboration, and what’s next for the industry.
Workers’ Compensation
Introducing Comp42, where we leverage advanced analytics, physician-led validation, and defensible reimbursement methodologies to protect payors from high-severity claims.
Auto Casualty
Bill review companies and auto payors partner with WellRithms to reduce uncertainty in casualty billing through added layers of payment integrity and deeper bill analysis.
Group Health Plans
Expertly serving self-funded employers, union trusts, brokers, consultants, and TPAs—revolutionizing healthcare billing with smarter defensible solutions.
Single Case Agreements
Work with WellRithms on the right case without changing your process. No implementation needed. Submit a high-exposure bill, get clear guidance, and pay with confidence.
Stay Informed
Keep updated with our newsletter to receive expert tips, exclusive content, and important announcements directly to your inbox.
Our Solutions Simplify Complexity
WellRithms exists to bring clarity to complexity. Our system is designed to examine the full structure of the claim so that reimbursement decisions reflect what is supported, documented, and defensible.
01
Clinical Validation & Justification
Ensuring billed services are supported by clinical documentation and medical necessity, with physician-led oversight.
02
Coding & Classification Overview
Validating correct and consistent use of codes, modifiers, place of service, and provider classifications.
03
Billing Standards & Compliance
Evaluating if billed services adhere to nationally recognized billing and bundling standards, including identifying services that should not be charged separately.
04
Cost & Reimbursement Context
Assessing billed charges against reported cost data and established reimbursement benchmarks to clarify what is fair and reasonable.
Confidence
is easy. Trust is
earned.
Rampant medical billing abuse hurts everyone. WellRithms was founded to relieve the financial and emotional stress caused by a broken healthcare system. By identifying and eliminating billing waste, we help payors including fiduciaries, employers, carriers, and claims administrators protect resources and deliver fair outcomes.
Shield Indemnification
Guaranteeing Our Recommended Payment Amount
Shield Indemnification™ protects carriers, plans, and members from the adverse impact of litigation expenses and balance billing tactics. We are backed by a captive insurance company that allows for the transfer of all legal and financial liability from the payor to WellRithms, thereby guaranteeing the recommended payment amount.
❝ ❞
Trusted By Our Clients
“I cannot express my gratitude for the advocacy and guidance that this organization fosters. The timing of the original bill came at the worst possible time for me and my family, financially, and we are grateful beyond measure. It was an amazing feeling through it all, to know someone had my back!”
— Client #1
“WellRithms helped me so much when medical companies were bullying me and sending bills out of nowhere years after the incident. SO grateful for them.”
— Client #2
“I immediately felt relieved and like I was in good hands when I contacted WellRithms for help with some medical bills I’d incurred. They were so attentive, reassuring, and kind, that I wasn’t at all surprised when they successfully reduced my debt considerably.”
— Client #3
“The entire process was amazing. You checked in every month, and when you weren’t working on the case anymore, someone else continued to do that. I felt like I got explanations every step of the way. It was seamless.”
— Client #4
Member Support
Find out answers to any questions you have with your account.