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.






					CTI combines an in-depth knowledge of claim administration with the principles of statistical process control. Our approach, utilizing methodologies established by the Six Sigma and Deming CQI principles, incorporates: • Electronic screening of claims data • Statistical process control techniques • Comparisons to key performance benchmarks CTI’s audits are performed by claims specialists – experienced professionals who analyze every aspect of the claims process. After identifying problem areas using a dozen standard measurements, CTI helps you prioritize the problems so that you can remedy the most troublesome areas first – and achieve faster efficiencies. Objective, independent analysis As an independent auditor, CTI offers you and your claim administrator a statistics-based analysis of your health plan that measures how your plan performs against other self-funded plans and administrators. Our approach does not customize the audit to your plan – instead, your plan is evaluated against established statistical standards. This “apples-to-apples” comparison plays no favorites with the numbers – giving you a realistic view of your plan performance.

								Claim Technologies Incorporated (CTI) has a proven track record in performing auditing for the business community for many years. Many clients have relied on CTI's expertise in performing claims administration audits, health plan claims administration audits, medical claims audits, and PBM (prescription benefit management) audits, to name a few, and has a wealth of experience in a wide array of other healthcare-related auditing procedures.