HEALTHCARE SOLUTIONS

4L Data Intelligence healthcare solutions, powered by Intetgr8 AI technology, are designed to improve data, provider, payment and clinical integrity. Our technology helps healthcare providers deliver better care at a lower cost and helps payers and governments improve service and lower costs by stopping fraudulent, wasteful and abusive claims before payments are made. And 4L Data solutions are real-time, easy to implement and over-the-top, so you don't need to rip-and-replace legacy healthcare data platforms or dramatically change workflows.

4 levels of integrity to lower healthcare costs,
improve quality and increase access

Health-step

DATA INTEGRITY

Delivering easy and cost-effective access to real-time provider data that helps health systems, networks and payers improve provider data management accuracy and lower PDM costs

Health-step

PAYMENT INTEGRITY

Delivering real-time dynamic insight into structured and unstructured claims data, provider behaviors and provider relationships to detect and prevent FWA before problem claims are paid

Health-step

PROVIDER INTEGRITY

Delivering real-time provider integrity data from hundreds of sources to help health systems and payers easily understand provider behaviors and make decisions to improve clinical and payment integrity

Health-step

DECISION INTEGRITY

Cost-effectively integrating and analyzing multiple data sources in real-time to deliver intelligent and comprehensive information to support efficient, timely and accurate care decisions

4L DATA HEALTHCARE SOLUTIONS

Health Resolution

PROVIDER INTELLIGENCE & INTEGRITY

Solving The Challenges Of:
  • Inaccurate provider data
  • Provider integrity related clinical, reputational and financial risks
  • Costly, labor-dependent PDM and credentialing
Immediately & Continuously Delivering:
  • Automated provider data management
  • Clean and accurate provider data
  • Single-source of provider data truth
  • Provider integrity transparency and alerts
  • Continuous, automated provider credentialing
  • Automated provider benchmarking
Powered By:
  • Patented Integr8 AI powered data cleansing, merge-matching and enhancing technology
  • Continuously updated 7M NPI provider database with 250 data elements on each provider

FWA PREVENTION & RECOVERY

Solving The Challenges Of:
  • Out-of-control healthcare costs
  • Pre-adjudication FWA detection and prevention
  • Stopping over-payments before claims are paid
  • Changing provider behaviors
  • Seeing a real-time comprehensive view of provider behavior
Immediately & Continuously Delivering:
  • FWA detection 2X to 10X higher than traditional rules-based claims editing systems
  • FWA pre-adjudication prevention
  • Reduced need and cost of pay-and-chase recovery
  • Higher FWA detection for recovery collections
  • FWA detection and prevention that integrates provider behavior with claims review
  • Real-time provider collusion mapping
  • Real-time unstructured trends, patterns, behaviors, relationships and outlier detection
Powered By:
  • Patented Integr8 AI powered real-time integrated provider behavior and claims editing technology
  • Continuous monitoring of provider integrity and behaviors to reduce upfront and ongoing risk

REVENUE INTELLIGENCE & INTEGRITY

Solving The Challenges Of:
  • Reducing claims denials
  • Pre-submission detection and prevention of claims denials
  • Pre-submission insight into reasons for claims denial
  • Pre-submission detection of under-coded claims
  • Easy comparison of hospital-to-hospital Medicare reconciliation report data
Immediately & Continuously Delivering:
  • Automated, real-time, pre-submission claims denial prediction
  • Automated identification of claims denial coding and documentation risks
  • Automated claims review against hundreds of payer guidelines
  • Automated real-time identification of internal claims denial performance
  • Automated ability to compare Medicare Reconciliation Report data for every hospital in the United States in point-and-click application
Powered By:
  • Patented Integr8 AI powered trend, pattern, relationship, behaviors and outlier detection

CATASTROPHIC CARE INTELLIGENCE

Solving The Challenges Of:
  • Out-of-control claims costs
  • Predicting which cases are potentially catastrophic
  • Poor quality care due to lack of real-time clinical intelligence
  • Slow decisions and response times
Immediately & Continuously Delivering:
  • Real-time actionable care and claims intelligence
  • Real-time, always-on detection, analysis and insight
  • Real-time clinical care red flags
  • Real-time claim red flags
  • Real-time pattern, trends, outlier and relationship detection
Powered By:
  • Patented Integr8 AI powered trend, pattern, relationship, behaviors and outlier detection
Take Control. Reduce out-of-control FWA costs.
Streamline provider data accuracy, integrity and credentialing.
  • Schedule a FREE FWA loss detection and collusion assessment using your data
  • Schedule a FREE 5-day provider data accuracy and integrity cleanse*
  • Credential 5 providers FREE using our automated platform*
*One time offer per organization. Limited to health systems, IDNs, Health Plans, PPOs, TPAS or credentialing services companies.