Data iSight®
A fair, transparent solution providing consistent, widely accepted reimbursement recommendations for out-of-network claims.
Fair Reimbursement
Defensible Methodology
Supportable reference-based pricing with high provider acceptance.
Out-of-network spending is growing at a rate far surpassing in-network spending. With its supportable, industry tested methodology and consistent, transparent recommendations with same-day turnaround on over 98% of claims, Data iSight can help you manage out-of-network costs — and has done so for over 100 healthcare payer clients.
Flexibility and transparency that create value.
By applying national benchmarking, regional wage indexing, and geographic adjustment among other methods, Data iSight delivers fair, transparent reimbursement recommendations.
Strategize
Data iSight can be used as a comprehensive cost containment program for both fully-insured and self-insured plans, or as the benefit limit is defined in plan documents.
Configure
Your cost containment needs may evolve. Data iSight is a configurable solution that balances cost savings with member satisfaction, helping to maintain scalability and efficiency.
Protect Members
Appeal handling options are available if providers initially disagree with Data iSight’s reimbursement recommendation.
Support
With more than 15 years of experience in claims, we understand the importance of member and provider transparency and support, which is why we have integrated appeal management options.
Engaging insights.
New ideas, proven best practices, and fresh perspectives for the healthcare ecosystem.
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How can Data iSight help maximize savings and minimize balance billing with fair reimbursement?
Reach out to learn how our solutions can go beyond reducing costs and increasing transparency by enabling affordable care for all.