TH & WellRithms | WellRithms

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.

See How Much You Can Save

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.

See How Much You Can Save

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.

Repricing

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.

Why WellRithms?

Since 2014, WellRithms has served as the industry leader in healthcare cost-containment reimbursement methodology for the commercial and self-funded markets.

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Getting Started

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.