Claim Reviews
Catch billing errors before you pay.
Harness the power of AI and coding experts to uncover errors on any type of hospital claim, inpatient or outpatient.
$0 review threshold on claims
EHR-integrated with 2,500+ hospitals for visit data
Capture savings before payment with no added delays
Stacy Morris
CEO, Employer Driven Insurance Services
TPA
Goodbill is quite literally one of our favorite vendor partners who we have ever worked with. The service they provide is exceptional in terms of hospital bill audits and hospital bill reduction.
How it works
Plans
Catch errors before they cost you.
Capture savings that are easily missed — before payment.
Step
1
Connect your claims feed
Goodbill automatically ingests eligible claims from your plan administrator.
Step
2
Retrieve medical records
We pull records from the provider or the member’s EHR to cross-check claims for errors.
Step
3
Apply the right review to every claim
We route each claim to a line-by-line review or DRG validation, based on the reimbursement method.
Step
4
Correct charges before payment
We return edits to the plan administrator, pre-adjudication, and handle any provider appeals.
Plan fit
Plans
Plan types that benefit most
Claim review adds pre-payment savings to these self-funded plan designs.
For
RBP Plans
For
Regional PPO Plans
Our Preferred TPAs & Plans
Case Studies
TPAs
Real stories, real savings.
Inpatient review saves 43% on stroke claim
A North Carolina member suffered a stroke, resulting in a $56,000 claim. Goodbill uncovered two coding errors that inflated the severity of the case.
Coding fixes and discount save plan 79%
A 34-year-old in Colorado was rushed to the ER with abdominal pain and vomiting, resulting in $16,691 in allowed charges. Goodbill reviewed the claim and whittled it down pre-payment.