Your health plan is paying for errors your TPA isn’t catching.
Self-funded employers absorb every dollar of inflated medical claims. Medverity audits those claims with AI to recover what your plan shouldn’t have paid.
HIPAA Compliant · 256-bit Encrypted · We never sell employee data.
Analysis Report
Bill ID: #MD-8291
Upcoding Detected
Service billed as level 5, clinical data suggests level 3.
Duplicate Charge
Routine blood panel billed twice on June 12th.
Medical billing errors aren’t a patient problem. They’re a plan problem.
80%
Medical coding is so complex that nearly 8 out of 10 claims contain at least one error favoring the provider.
$1,300
Unchecked errors hit your plan directly and multiply across your workforce.
0
Providers are not legally obligated to audit their own billing before sending claims to your plan.
The cost of unchallenged claims.
Paying for unperformed procedures.
Upcoding, duplicate charges, and phantom billing occur daily. Without independent audits, they clear TPA reviews and hit your plan balance every time.
One upcoded surgery. Multiply it by your headcount.
One upcoded surgery can cost your plan $10,000 or more. Across a 500-person headcount, even a low error rate causes a severe, preventable financial drain.
Employees stuck with leftover bills.
Employees face the remaining balance after your plan pays. Unchecked errors cause financial stress, which directly hurts workplace focus and productivity.
“The average self-funded employer overpays by tens of thousands annually due to avoidable billing errors.”
Protect your health plan budget.
Meet Medverity — the AI billing advocate you offer as a benefit.
Your employees get expert bill auditing. Your plan gets measurable cost recovery. Both happen automatically, at scale, for a predictable monthly cost.
Simple to offer.
Powerful in practice.
Add Medverity to your benefits package
One agreement, one monthly PEPM fee. Your employees are enrolled and notified. No additional infrastructure required on your end.
Every employee gets access to AI bill auditing
When an employee gets a medical bill or EOB, they upload it to our app. The AI flags errors against clinical billing standards in 90 seconds.
Auto-generate disputes
Medverity creates ready-to-send dispute letters and call scripts for every error. The employee approves them, and we track the resolution.
Track your savings
Your benefits dashboard highlights aggregate savings, audit rates, and error trends. You see the clear monthly ROI.
We analyze the clinical logic behind every claim.
80%
Billing departments process thousands of claims daily. Errors are routine, and your plan pays for them.
Duplicate Billing
The same service billed multiple times for the same encounter or day. TPA systems routinely miss these.
Upcoding
Billing for a more complex service than what was delivered. A level 3 visit becomes a level 5, inflating your plan costs.
Phantom Billing
Charges for services, supplies, or meds never administered during the visit. Without itemised review, these pass through uncontested every time.
Unbundling
Separating charges that should be billed under one comprehensive code to artificially inflate the total cost.
Clear value for your plan
and your people.
What you get when you stop just paying the bill.
Direct plan recovery
Employers save an average of $800 per audited claim. Across a 500-person workforce, this builds substantial annual savings.
Lower spend growth
Unchallenged errors set an artificially high baseline for future rate negotiations. Catching errors keeps your cost trajectory lower.
Financially healthier employees
Incorrect medical bills distract employees. Removing this burden improves focus and workplace engagement.
High benefit engagement
Most workplace benefits are invisible until something goes wrong. Medverity provides direct, memorable support when employees need it most.
Spend Intelligence
Built for enterprise compliance.
From day one.
We designed Medverity around strict healthcare privacy standards from day one.
Frequently Asked Questions
Medverity is offered as a standalone employee benefit, similar to an EAP or financial wellness programme. It doesn't replace your TPA or health plan — it sits alongside them and audits claims your existing process doesn't review.
We provide onboarding guides, communications, and portal links. You sign one agreement with a flat PEPM rate, and you can go live within two weeks.
No. Individual audits are completely confidential. HR administrators only see anonymized, aggregate data on the employer dashboard. Employee health information is never visible to your team.
ER visits, surgical claims, maternity and labour and delivery, outpatient procedures, specialist visits, and complex inpatient stays. These are the highest-value claim categories where billing errors are most common and costly.
Your employer dashboard shows total audits completed, errors identified, disputes filed, and confirmed savings recovered in real time.
A predictable Per Employee Per Month (PEPM) fee based on your total headcount. Contact us for a custom quote.
Your plan is paying for errors right now. Let’s find out how much.
HIPAA Compliant · No commitment required · Results in under 90 seconds per claim