We’re putting healthcare
in context
Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform.
Solutions
to empower your organization
/026-risk.tmb-thumbnail.png?sfvrsn=1 "026-risk"){kind=icon}
Payment Integrity
Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts.
/004-goal.tmb-thumbnail.png?sfvrsn=1 "004-goal"){kind=icon}
Pricing
Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution.
Healthcare Data
More than 100 healthcare data sets, with professional support to optimize efficiency and compliance.
/001-access-denied.tmb-thumbnail.png?sfvrsn=1 "001-access-denied"){kind=icon}
Medical Coding
Advanced medical coding software designed to expedite claim submission and minimize denials.
Insights
from our team of experts
Alert: New ICD-10-CM Emergency Code Added for Vaping-Related Disorder
1.20.2020
Starting in 2019, we have experienced a national outbreak in vaping related pulmonary illnesses. This outbreak has created a dilemma for coders, payers and researchers as well.
Detecting Healthcare Fraud, Waste, and Abuse
7.30.2019
Although isolated errors are consistently made in claims submission, tools which can help see beyond them and isolate patterns that are suspicious for fraud on a grand scale, or at least waste or abuse of a significant scope, can prove valuable.
Combating Overutilization of Healthcare Resources
2.04.2019
Overutilization in Healthcare is a problem which has been estimated to cost in the range of hundreds of billions of US dollars every year. Despite historically spending more than double per person on healthcare than the average developed country, our outcomes have not been significantly better.
Success
stories from our clients
“The extensive and up-to-date UCR database provided by Context4 Healthcare is complimented by their fast and knowledgeable customer service.”
“Amazing customer service! Thanks so much for the quick feedback and for resolving the issue so quickly, you knew just how to help.”
“Context4 Healthcare’s Claims Editor is a one-of-a-kind solution. The real-time edits and ability to create in-house rules have played a major part in reducing our denial rate.”
“When asked by a potential client recently who we used for our UCR Fee data, we told them Context4 Healthcare. The potential client was very pleased and it gave us one up on the competition.”
Let's innovate together.
Find out how our cutting‑edge, industry‑leading solutions can empower your organization.
Proudly Affiliated with:
