OUR STORY
Two founders. Five decades of industry experience.
One market-defining opportunity.
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Combined, our careers span every corner of health insurance, from product and financial (P&L) management, to claims operations and audit, data analytics, payment integrity, distribution, and risk management. We've watched billions of dollars flow through the healthcare supply chain with insufficient visibility, inconsistent adjudication, and loss ratios that quietly erode plan viability. This is no truer than within Medicare, and stems into Medicaid and commercial plans where margin pressure is acute and growing.
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The problem was never a lack of data. It was a lack of intelligence applied to it at scale.
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ClaimQI was built to close that gap. By combining deep domain expertise with artificial intelligence and machine learning, we've created a payment integrity platform capable of analyzing claims at a speed and accuracy no traditional approach can match, identifying patterns, predicting risk, and driving defensible payment decisions across billions of records in real time.
The beneficiaries span the entire healthcare supply chain: payers who need protected margins, providers who deserve consistent and transparent payment decisions, and TPAs, brokers, and plan sponsors who require confidence that every dollar is accounted for – compliantly, accurately, and with integrity.
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This is a large, underserved market.
ClaimQI is purpose-built to lead it.
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