What We Do
Who We Serve
Who We Serve
Custom, Clinically Based Payment Integrity Solutions for Complex Claims
We deliver tailored payment integrity solutions designed to address the most complex healthcare claims. Our clinically driven approach supports health plans ensure accuracy, transparency and fair payments to facilities.
Who We Serve
Who We Serve
Who We Serve
National Reach. Local Expertise.
We partner with the nation’s largest insurance organizations and diverse health benefit plans—including Commercial, Exchange, Medicare Advantage, Medicaid, Self Funded and Workers’ Compensation—to safeguard their plan benefits and financial integrity.
Our Value
Who We Serve
Our Value
The Catalyst Difference
Catalyst’s microanalysis of the claims and supporting patient medical records is conducted by seasoned clinicians with extensive patient care experience. This approach provides a broader, more comprehensive payment integrity review than algorithm-based, formulaic machine learning analyses. Leveraging clinical expertise ensures higher-value, defensible charge adjustments.