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

Payment Integrity
Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts.

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.

Medical Coding
Advanced medical coding software designed to expedite claim submission and minimize denials.
Insights
from our team of experts
Medicare and Maine Medicaid Healthcare Fraud Settlement Case
05.17.2023
A Maine family practitioner used false claims billed to Medicare and Medicaid for services that were either not provided or not medically necessary, which provides reasons for the need of Fraud, Waste, and Abuse (FWA) protection.
Dental Fraud in Medicaid
05.09.2023
A multi-million dollar scheme provides an example to the benefits of having fraud, waste, and abuse (FWA) protection.
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.”
