Bluespine

About Bluespine

Healthcare is your second-largest expense. Are you sure you're not overpaying? Bluespine makes sure you're not. We identify, recover, and prevent medical overbilling, delivering real savings and ERISA compliance protection without disrupting benefits or vendor relationships. *The Problem* Up to 80% of medical claims contain billing or coding errors, yet traditional payment integrity systems review less than 1%, typically just high-dollar claims. The rest are auto-paid, often without being checked against your SPDs, negotiated rates, or stop-loss contracts. The result is millions in silent financial leakage every year. Until now, most self-insured employers have had no way to verify what they’re actually paying for. *The Solution* Bluespine leverages the power of AI to help self-insured employers identify medical overbilling and gain control of their healthcare spend. Here’s how: ✅ Reviews 100% of medical and pharmacy claims, not just the highest value ones. ✅ Catches plan-specific violations with precision. Uses AI to generate rules from your SPDs, pricing agreements, and contracts, detecting overbilling errors that traditional payment integrity systems miss. ✅ Helps you demonstrate fiduciary responsibility. Supplies audit-grade, defensible documentation that supports ERISA, CAA, and DOL compliance while strengthening legal and financial oversight. ✅ Recovers overpayments with zero operational friction. Works directly with your TPA or ASO without disrupting employee benefits or adding a burden on your HR team. ✅ Prevents future loss with real-time protection. Allows you to run real-time and post-payment reviews. *The Results* Bluespine clients can save up to 10% of their total healthcare spend. (One uncovered $3.9M in overcharges (9% of total value) across 130,000 claims). Trusted by HR leaders, CFOs, consultants, and auditors alike, Bluespine proves that healthcare costs are NOT out of your control when you have the right tools!

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