“Rialtic has been a true partner, working closely with our team to deliver measurable payment savings. Their transparent approach, collaborative mindset, and responsiveness have earned our trust. They help us respond quickly to changing business needs, giving us confidence in the decisions we make every day.”
Recovering a payment costs far more than preventing one. Automated edits, and specialized review of complex claims all happen before dollars leave the door.
Stay current with updates for Medicare, Medicaid, and industry guidelines as regulations and code sets change. Easily layer your organization's policies across the payment accuracy workflow.
Rules automate straightforward payment decisions, while complex, high-dollar, and clinically nuanced claims are routed for expert coding review, improving accuracy without slowing routine processing.
Full visibility — every policy and denial is explainable and traceable, with rich metadata, linked source documentation, and point-in-time version history that's audit ready.
Configure policies, exclusions, and workflows to match your organization's claims patterns, payment policies, and provider relationships, with every decision fully transparent and governed.
Rialtic works with your existing claims systems across prior authorization, pre-pay, and post-pay review to catch payment errors at the source. The platform is HITRUST CSF r2 Certified and SOC 2® Type II compliant.
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