Pay claims right the first time
Recovering a payment costs far more than preventing one. Automated edits, and specialized review of complex claims all happen before dollars leave the door.
Policy intelligence that stays current
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.
Automation plus expert review
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.
Activate with confidence
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.
A platform built around your environment
Configure policies, exclusions, and workflows to match your organization's claims patterns, payment policies, and provider relationships, with every decision fully transparent and governed.
One platform for the entire payment lifecycle
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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