How ClinAssist Works
Pre-Screen
We offer a complimentary Pre-Screen to determine if the claim would benefit from a Forensic Review. We guarantee a rapid turnaround to avoid penalties for delayed claims payment.
Forensic Review
Our innovative Forensic Review combines advanced technology with hands-on clinical and financial expertise to analyze every aspect of a claim, identifying savings opportunities that are often missed in a standard automated review or a medical chart audit. A Forensic Review reconstructs the course of care to identify gaps between the care provided and billed charges.
Our team of legal, clinical and financial experts, combined with our proprietary technology, identifies inappropriate levels of care, non-covered services, experimental treatments, errors and unbundling. Our Forensic Review documents categories of exceptions, building a strong platform for settlement.
Negotiation and Settlement
We use highly experienced negotiation specialists to engage in constructive negotiations with hospitals. Our goal is always to achieve a fair and equitable result for everyone involved in the process.