For Insurers

Paying medical bills is complex and the regulations governing privacy are stringent. finHealth Navigator can offer you a user friendly, interactive means of interrogating your claims data, with secure safeguards over Protected Health Information (PHI).

The deep, customizable risk scoring system can help you make best use of limited resources to verify those claims with the greatest risk of error/overpayment. Each claim is scored for risk based upon attributes of provider specialty, CPT code, place of service, outlier from its peers on a cost basis, claims with possible alternate coverage, as well as claims that fail correct coding and medically unlikely edits.