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