Rialtic equips and enables payors and providers to execute their unique payment and billing accuracy strategy.

MARKET CHALLENGES

 

The payer/provider payment process is complex and strained. Incentives are not well aligned, and each party has efforts to address their own needs. The result includes tremendous effort, expense, administrative layers, costs and complexity.

Finding and paying for inaccuracies without solving the root problem

Clarity and usefulness of the content used to define accuracy

Growing layers of administration and costs in an “arms race” between payers and providers

Managing the complexity of overlapping solutions

Keeping up with coding and policy changes

SOLUTION

 

A collaborative, open marketplace platform that equips and enables payors and providers to execute their unique payment and billing accuracy strategy.

TECHNOLOGY

That delivers patent-pending flexibility, performance, security, and access to more actionable insights.

REFERENCE SOURCE REPOSITORY

That makes frequently updated policy source documents easy to search

CURATED CONTENT

Containing the logic to present insights and recommendations anywhere along the claim processing workflow

SUPPORT & SERVICES

Structured to meet your needs from self service through full service

 

CLIENT VALUE

Take back control with a platform built to serve your payment accuracy needs

Reduce costs across the total cost for payment accuracy

Enable more collaboration between payers and providers to reduce friction

Make it easier to keep up with changes and innovate new concepts

OUR TEAM

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    Chris Creel

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    Chris Creel

    • Responsible for: Technology Leadership
    • What excites Chris about Rialtic: Leveraging collaboration between parties who share a common goal to empower them to do for themselves what they currently pay others to do for them
    • Previous experience: 40 years of technology R&D experience, 20 years of healthcare experience, and 9 years of payment policy accuracy experience
    • Hobbies: IoT applications for educators, DIY projects in hydroponics, bee-keeping, and farming
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    Doug Williams

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    Doug Williams

    • Responsible for: Assembling and leading a great team to pursue our mission
    • What Excites Doug about Rialtic: The opportunity to make a difference by delivering on the things that clients value most and creating an exciting, engaging environment for our team to thrive
    • Previous Experience: CEO of Cotiviti which was formed from the merger of iHealth Technologies (Founder and CEO) and Connolly. Previous to iHealth Technologies, served at Vivra Specialty Partners (sold to Magellan) and CIGNA
    • Hobbies: Building high performing teams and culture, fishing and family
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    Roy Ziegler

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    Roy Ziegler

    • Responsible for: Engaging the market with our solutions and helping deliver value to our clients
    • What Excites Roy about Rialtic: Working with a passionate team wanting to make a positive impact for our clients and having a little fun along the way
    • Previous Experience: Healthcare consultant, business operator, entrepreneur and investor – always focused on growth and delivering client value
    • Hobbies: Creating family adventures, communing with nature, making golf fun

Message from the Founder

I had the privilege and good fortune of working with an amazing team to build a company that served many clients over the years in the field of payment accuracy. We had the view that if we focused on serving clients and their needs (vs. our own agenda), that we would be entrusted as a valuable partner. We treasured those clients, they taught us a lot and provided invaluable feedback along the way that has shaped my current view of what’s needed in the next generation of payment accuracy.

 

The value delivered today is real and important—primarily referred to as payment integrity. But it is delivered in a very expensive, fragmented, and not well-understood way. This results in a great deal of friction between payers and providers, and a growing administrative cost burden for all parties.

 

We believe there is a better way, and we’re building the team and solution platform for the future of payment accuracy.

 

– Doug, Founder and CEO

BOARD MEMBERS

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    Andrew Adams

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    Andrew Adams

    Andrew Adams is a Co-Founder and Managing Partner of Oak HC/FT where he focuses on early-stage venture and growth equity opportunities in Healthcare. Andrew currently serves on the Boards of August Bioservices, Dispatch Health, Galileo, Paladina Health, Rialtic, Inc., Therapy Brands, US HealthVest and WithMe Health and is a Board Observer at Sema4.

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    Ken Goulet

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    Ken Goulet

    Ken Goulet is a senior-level healthcare executive with 30+ years proven experience in growing and leading large healthcare organizations. Ken is an investor and board member to several organizations including BHP, CHP Merger Corp, IPG, OODA, Quartet and Sharecare. Previously, Goulet served as the executive vice president of Anthem Inc., and president of the company’s Commercial and Specialty Business division.

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    Rob Bearden

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    Rob Bearden

    Rob Bearden is an experienced enterprise software executive. He was co-founder and CEO of Hortonworks, a publicly traded open-source company that merged with Cloudera in 2019. Rob is currently the CEO of Cloudera. Before joining SpringSource, Bearden served as Entrepreneur in Residence at Benchmark Capital. He also served as COO of JBoss, a leading open-source middleware company, until its acquisition by Red Hat in 2006.

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    Doug Williams

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    Doug Williams

    • Responsible for: Assembling and leading a great team to pursue our mission
    • What Excites Doug about Rialtic: The opportunity to make a difference by delivering on the things that clients value most and creating an exciting, engaging environment for our team to thrive
    • Previous Experience: CEO of Cotiviti which was formed from the merger of iHealth Technologies (Founder and CEO) and Connolly. Previous to iHealth Technologies, served at Vivra Specialty Partners (sold to Magellan) and CIGNA
    • Hobbies: Building high performing teams and culture, fishing and family

JOIN THE RIALTIC TEAM!

 

Rialtic is building a team of medical policy experts, innovators, data scientists and technology and business wizards. We have both full, part-time and gig-worker opportunities available. If you are interested let us know!

 

CONTACT US

If you're a payer or provider interested in learning more about Rialtic

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