Bloodhound’s payment integrity solution, ConVergence Point, is positioned to combat healthcare fraud through real-time adjudication, transparency for all participants in the claims cycle, business intelligence, and increased auto-adjudication and processing efficiencies. ConVergence Point, a next-generation hosted claims editing service, is offered through a SaaS (Software as a Service) delivery model that is customizable and flexible across transaction systems. All ConVergence Point edits are open-sourced and based on national standards and can be configured to exactly match a payer’s reimbursement policies. Further, ConVergence Point provides a web portal for providers to see edits and correct claims before submission. This remarkable service can process a claim against 16 million edits across total patient history in subsecond response time and integrate with any claims adjudication system, clearinghouse, or claims gateway.
Bloodhound was acquired by Verisk Analytics for $82M in 2011.
Early stage companies who receive federal government grants, including Small Business Administration SBIR/STTR grants, have [...]