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SHIELD INDEMNIFICATION

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Protection from the adverse impact of litigation expenses and balance billing tactics.

WELLRITHMS
SAVINGS
GUARANTEE 

WellRithms Is the Solution for Accurate Medical Claim Review and Repricing

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.  Shield Indemnification™ protects carriers, plans, and members from the adverse impact of litigation expenses and balance billing tactics.

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CLASSIFICATION, EDITS, & REVIEW  (CER)

Our Classification, Edits, and Review (CER) engine is designed to maximize savings for in-network claims.

On average, we achieve 6% - 8% additional savings across all in-network claims through our pre-payment adjudication. Trust us to help you get the most accurate bill review for medical claims and achieve guaranteed savings.

CER INCLUDES:

Classification: Our automated system sorts and classifies claims by bill type and place of service.

Edits: Clinical edits identify errors, duplicate services, excessive, abusive, and unlikely charges.

Review: A physician review scrutinizes the treatment provided to verify and confirm its accuracy.

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SUSTAINABLE CLAIMS PRICING

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For out-of-network and catastrophic bills.

At WellRithms, we are revolutionizing the way out-of-network and catastrophic healthcare bills are adjudicated. Our tailored system emphasizes sustainable billing practices, ensuring equitable costs. With our in-depth reviews and cutting-edge technology, we identify billing discrepancies, achieving an average of 75% savings.

 

This meticulous approach upholds our dedication to fairness and transparency, guaranteeing that healthcare providers and payors are respected and financial wellness is maintained. Trust in WellRithms for a balanced, just, and sustainable resolution to complex billing challenges.

  • Pre-payment review & repricing to capture savings on every claim

  • Control the rising costs of out-of-network claims

  • Bend the trajectory of health plan spend

  • Minimize provider appeals and maximize savings with fair reimbursement

  • A better option than rental PPOs for cost containment

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