About HealthDataInsights INC (HDI)

HealthDataInsights is the industry leader in healthcare claims integrity: fraud, abuse and overpayment identification and recoupment solutions.Our customers include the public sector (the Centers for Medicare and Medicaid Services), and the private sector (Health Plans, Major Employers and other Payors).

HealthDataInsights, Inc. is a technology-enabled healthcare services company that specializes in the identification and recoupment of claim overpayments to providers (hospitals, physicians, DME and other specialty providers). The company, on behalf of its clients, which include the Centers for Medicare and Medicaid Services and a number of the largest commercial payors in the United States, employs sophisticated, proprietary software tools and database queries to retrospectively analyze 100 per cent of a payor’s claims data.

HDI’s technology—which is deployed retrospectively (post-adjudication, post-payment) -- empowers a full review of all claims paid:

• HCARE: a fully automated review of 100% of the client’s claims data
• Care Management Services: technology-driven complex review of medical record
• Utilization Review
• Coding Validation
• Hospital Bill Audit
• Pharmacy Audits: automated review of pharmacy claims