The Labor Market's Secret Weapon
Sustainable Claims Pricing™
For out of network and catastrophic bills
In-Network Bill Review Audit
Reviews for undocumented medical services, coding errors, and egregious charges
As Much As Deserved Philosophy
Purchasers deserve a fair price. Providers
deserve a fair reimbursement.
Managing sustainable benefits for multi-employer plans is harder then ever.
WellRithms brings you healthcare reimbursement integrity and transparency, finding what’s fair for everyone.
We have been working side-by-side with labor unions since our founding, and we’re proud to continue offering a wide range of cost containment solutions to help you offer sustainable benefits to your participants.
WellRithms offers multi-employer plans ways to protect participants funds while not compromising on quality and fairness.
At WellRithms, we help you maintain financial wellness while we honor the provider, show compassion to the disadvantaged patient, and educate the healthcare industry towards best practices. Our work and our tools only have value when our customers are successful, and our services are paid for from some of your savings.
Because WellRithms is committed to pursuing a fair price for healthcare services, we consistently outperform the competition by providing greater savings with client specific support and service.
How We Work
WellRithms uses a multilayered reimbursement approach that includes advanced medical experience, data analysis, proprietary and proven processes to review medical claims and determine the right price for medical services. For the payer, WellRithms detects and eliminates errors, fraud and abusing billing to maximize savings on every bill. For providers, WellRithms champions appropriate and equitable reimbursement for services. And your people just win!
Three Steps to Understanding Our Payment Integrity Process
Itemized Bill Review
WellRithms cleans every claim with our line-by-line Classification, Edits, and Audits (CEA) system to uncover coding errors, inappropriate and duplicative charges, and more.
Clean claims are repriced using multiple data sources and proprietary algorithms to determine a fair and reasonable payment amount.
Shield Saving Guarantee
Our reimbursement determination is backed by WellRithms Shield, an ERISA compliant risk transfer tool protecting the plan and patient from financial liability above the plan's allowable amount.
Since 2014, WellRithms has served as the industry leader in healthcare cost-containment reimbursement methodology for the commercial and self-funded markets.
If you’re ready to see what’s possible with WellRithms, prepare your worst claims for us, no matter how many. We’ll review and tell you how much you could save, at no cost or commitment to you.
Step 1 - Schedule a Call
Step 2 - Meet with Us
Pick a date and time that works best for you.
We’ll discuss your problem claims and how we can help.
Step 3 - Send Us Your Claims
We welcome the opportunity to demonstrate how much you could save, at no cost or commitment to you.
*Source: Beckers Hospital Review