Fun fact
00M+ Lives
$00M+ Identified in FWA
00+ Plans Assessed (2022)
Plan Compliance
Did you know that your managed health plan is also required to comply with ERISA? BCI can help you determine your level of compliance and any problem areas.
Recovery
BCI can assess fraud, waste, abuse, and errors in your medical plan transaction history; our legal team can help you craft an effective recovery action.
Compare
BCI maintains a curated database of millions of transactions across the United States - compare your plan expenditures across hundreds of payers and thousands of other plans.
Monitoring
BCI can help you keep your plan compliant by providing ongoing transaction monitoring - you can receive regular reports on plan accuracy and transaction, access real-time information through a dashboard*, and more.
BCI Core
BCI is a unique group of lawyers, analysts, and tehnologists, all with a vision to find new ways to streamline managed medical plans while bringing better medical care to plan members.
- Real-world specialsts - The BCI team isn't just analysts - we've added transaction specialists that have decades of medical practice experience, ERISA lawyers, AI and Big Data developers, and more.
- ERISA and medical plan specialization - This is what we do, from assessing plan compliance to helping you acquire your own data to crafting recovery efforts.
- Real-World Data - BCI's curated database of HIPAA-conformal medical data includes transactions from thousands of managed plans. Comparative analyts can tell you exactly how your plan stacks up against your competition, and what the same medical providers are billing them.
- Legal expertise - Compliance is a moving target. The Consolidated Appropriations Act of 2021 (effective January 1 of 2023), the Secure 2.0 Act of 2022, and other edicts and changes complicate things enormously. Our legal group can help you find your way through these changes and additions to the law.
- Client-focused team - At BCI, you'll have a single account specialst dedicated to your plan. You can speak directly to the legal group, directly to the transactions and assessment specialsts about specific transactions, and if you have an IT group, you can talk directly to our IT resources. We're here to work with you.
OUR SOLUTIONS
Unlock the full potential of your Healthcare Plan with BCI's comprehensive service tiers, offering a range of solutions to address fraud, waste, abuse, and error. We empower you to safeguard your organization's financial health and ensure optimal plan performance.
TIER 1
BCI's Summary Statement created from your data to give you a cursory view of the extent of fraud, waste and abuse in your Healthcare Plan. There is NO CHARGE for this service for organizations with self-insured plans.
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TIER 2
BCI's Integrity Report based on a deep dive into multi-year historical claims data to establish with specificity and categorical detail, fraud, waste and abuse in one's Healthcare Plan.
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TIER 3
BCI's ongoing monitoring of your claims adjudication process, including periodic updates, dashboard integration, and comparative analytics across thousands of managed plans.
Read MoreWhat people are saying
Don't just take our word for it. Here's what other industry professionals said.
Alliant Insurance Services, Inc.
"BCI has a competent staff, offers a unique and valuable service, and I highly recommend them to fiduciaries seeking integrity in health plan management. Their software and technical team are impressive at identifying errors leading to costly waste."
Tracy McConnell, SVP
AlliantConnect Healthcare Collaboration
"With BCI as a frontrunner in managing claims payment integrity, plan sponsors can rest assured they have deployed the leading AI-based software for identifying waste, fraud abuse within their plan. Taking it a step further, the BCI Team offers unparalleled recoupment support for funds recovery and ongoing monitoring. It is my pleasure to recommend them!"
Sally Pace, CEO
CHCGet In Touch
Insights
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