CTI - Claim Technologies Incorporated provides health care fraud investigation and health plan fraud investigation, health claim audit, and health claim review services.

Claim Technologies Incorporated is an independent audit company specializing in health plan review, health plan audit, and health plan claim audit services. Since we began in 1990, we have helped self-funded employers across the country improve their claims administration processes through health plan and health care fraud investigations.

Claims administration processes can significantly impact claims expense and service quality. Small variations in these processes can waste hundreds of thousands of dollars toward your bottom line.

A New and Better Path to Accountability and Control

A Collaborative Approach to Improved Administrator Accountability

Attributing specific benefits to conventional claims audits is typically
very difficult with conventional approaches, and for lack of clear direction, substantive post-audit improvements rarely can be demonstrated. Our approach, on the other hand, provides both benefits managers and administrators with management insights as to costly problems, their causes and cures, and whether corrective actions taken are having their intended effect. No other approach can match the benefits and Return on Investment you can achieve with the audit and control approach of CTI.

In Brief…

Where delivery of the results marks the end of conventional claims audit
approaches, CTI's approach also lays a foundation for improved administrator
accountability and control. In addition to measuring past performance,' we use
statistical process control ("Deming/Six Sigma") techniques to provide benefits
managers with tools and information to identify the most significant "leaks"
and recovery opportunities … to pinpoint the underlying causes of these
problems … to focus administrator attention on the actions needed to fix
them … and to measure the effectiveness of the actions taken.

Savings Leverage Through Administrative Process Improvements

While risk exposure in claims administration has become well-known,
not as well-known is the significant leverage that claims administration
processes have on claims expense and service quality. Small amounts of
variation in these processes, when applied against millions of dollars in
claims, can have material adverse effect. Conversely, with the right kind
of management information, there exists the opportunity for benefits
managers to turn this leverage to their advantage and realize substantial
savings. CTI's services have been developed specifically to meet this need.

“We’ve found no other approach yields the the savings and return on investment we have been able to achieve annually over the past several years using the audit approach developed by CTI…”

State Employee Benefits
Contract Manager

CTI - Claim Technologies Incorporated - Specialists in managing self-funded health insurance plans