Stop Overpaying
Medical Claims.
AI-powered auditing catches billing errors before your TPA pays. Conservatively, 3% off every self-funded plan.
Trusted and Supported By
01·Inside the Audit
One claim, audited live.
Claims stream in from your TPA. The audit engine clears clean lines, flags the rest.
| Claim ID | Review Type | Finding | Status |
|---|---|---|---|
| CLM-00318 | Itemized bill review | $58,458→$58,458Paid 3.2x published rate | REVIEWINGFLAGGED |
| CLM-00319 | 90+ billing validators | No findings | CLEAN |
| CLM-00320 | Duplicate detection | No findings | CLEAN |
| CLM-00321 | Contract compliance | No findings | CLEAN |
| CLM-00322 | Published-rate check | No findings | CLEAN |
02·HOW IT WORKS
Every claim, audited before your TPA pays.
Our AI audits 835/837 claims to catch errors before your TPA pays.
Incoming Claims
99214
99213
$284.00
Upcoded80053
80048
$112.50
Duplicate71046
71045
$198.00
UnbundledFinancial aid screening
Threshold monitoring
03·PUBLISHED-RATE ATLAS
The hospital already told us the price.
Every flagged claim is compared against the rates hospitals publish for their own services.
Your TPA still processes every claim. CodaHx audits in parallel, before payment goes out.
04·BEYOND CLAIMS AUDITING
The full payment integrity stack.
Automated claims auditing, coverage optimization, and risk monitoring for self-funded employers
Stop-Loss Protection
Track high-cost cases in real-time
Financial Aid Discovery
Automated eligibility verification
ERISA Compliance
Fiduciary protection with full audit trails
Plan Design Optimization
Actionable plan recommendations
05·Your Number
Estimate your annual savings.
Two numbers in. Your conservative pre-pay savings out.
06·IN THEIR WORDS
Our Healthcare costs are slated to rise nearly 10% in 2026. CodaHx addresses a critical need for our business.
07·Questions
Frequently Asked Questions
Everything you need to know about our Cost Savings Engine
We detect billing code errors, duplicate charges, unbundling, upcoding, coverage misapplications, and pricing discrepancies in 835/837 claims.
Yes. We use bank-level encryption, are HIPAA compliant, and never share your data with third parties.
We track employee claims against your stop-loss threshold and alert you when approaching the limit, helping maximize insurance coverage and manage financial risk.
We identify employees who may qualify for financial assistance based on household size and income, then help them apply to reduce claim costs.
Yes, we integrate with your TPA to flag coding errors and coverage misapplications before payment, maximizing savings.
Ready to See It In Action?
Try our demo or contact us for a personalized walkthrough.
Backed by CMS & OIG audit data