coding verification

Highlight Health is an independent reviewer of large healthcare claims for self-funded health plans and the people who fund them. It performs pre-payment review of high-dollar medical claims, producing a Documented Record of what the price should be and why. The work draws on claims specialists, certified coders, clinicians, actuaries, and attorneys. Founded 2020 and based in Philadelphia, it takes no fees from the providers, networks, PBMs, or carriers it reviews.

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actuarial analysisclaims reviewlegal reviewpre-payment claim reviewpricing verification