Who We Are
Benefits Claims Intelligence is your trusted partner for intelligent healthcare claims analysis. With a relentless focus on identifying, resolving, and preventing instances of waste, fraud, abuse, and error (FWAE), we ensure the integrity and efficiency of your healthcare plan.
Our executive team comprises highly experienced professionals with a combined expertise of over 150 years in healthcare claims analysis, healthcare consulting, and corporate problem-solving. We present unrivaled safeguards to your organization's financial well-being and deliver actionable insights that drive real results.
Our Vision
Our vision is to empower self-insured health plans by providing education and guidance. By enabling fiduciaries to effectively address fraud, waste, abuse, and errors in their plans, we aim to restore plan integrity and protect plan assets for the benefit of all participants.
Our Commitment
Our commitment is to provide unparalleled technology and expertise, restoring independence to your plan by ensuring that any FWAE is promptly identified and addressed with precise details of the questionable claims. We believe that plan sponsors deserve complete transparency into how their healthcare dollars are spent.
Our Process
Our process delivers data accuracy and transparency. Our AI-driven software and extensive database enable us to provide detailed insights of your plan's performance. We collaborate with you to develop a tailored recovery strategy and offer ongoing monitoring for continued peace of mind.
What Sets Us Apart
Within the healthcare services and technology competitive marketplace, BCI occupies a space all its own. With a sole focus on thoroughly auditing self-insured plans, we allow companies to optimize their health plan's efficacy and compliance through knowledge and insight.
- 100% Transaction Auditing: Unlike traditional auditors who review only statistical samples, we analyze every single claim in your plan data.
- HIPAA Architecture Pioneers: Our technology leadership includes the original architects who helped build HIPAA-compliant healthcare data systems, including achieving the nation's first third-party HIPAA certification in 2006.
- Massive Data Experience: We have processed medical claims data covering over 310 million Americans, providing unmatched benchmark data and pattern recognition capability.
- Recovery-Ready Output: Every finding is documented for legal defensibility — ready for fiduciaries, attorneys, and regulatory bodies to act on immediately.
The Leaders
Our leadership team brings decades of experience in healthcare analytics, technology, and business operations.
Mike Robinson
Provides overall company leadership and strategic direction, drawing on extensive experience in healthcare business development and corporate leadership.
Sean Harrison
Leads technology platform architecture and AI systems development. Original architect of HIPAA-compliant healthcare data systems with deep expertise in data management and security.
Lisa Whitlock
Leads analyst team on major projects with deep expertise in healthcare claims analysis, identifying patterns of fraud, waste, abuse, and errors across complex data sets.
Don Hutson
Leads sales and business development efforts, managing client relationships and ensuring exceptional service delivery throughout every engagement.
Our Approach to Confidentiality
Benefits Claims Intelligence's services for all clients are considered private and confidential. Protecting client data, procedures, research findings, and vendor relationships is a top BCI priority.
We agree and acknowledge that all communication, data, services, or other information associated with any engagement is considered protected and proprietary and will not be released without written authorization of the client. Due to the sensitive nature of the liabilities that we frequently uncover, BCI will enter a Business Associate Agreement (BAA) upon client request.