A smarter way to protect every dollar
Health care costs are rising, compliance demands are growing, and provider relationships are under pressure. Health plans, TPAs, and carriers need a smarter way to protect dollars without adding friction or complexity.
Our payment integrity platform centralizes workflows, prioritizes recovery opportunities, and delivers transparent reporting to help teams recover more dollars, faster.
Structure matters. So does speed.
Our approach brings structure and speed together. A centralized platform, dedicated workflows and responsible artificial intelligence (AI) help teams focus on high-value opportunities and improve recovery performance.
LBS enables rapid concept deployment. Payment integrity teams can launch new concepts to address risks and access savings sooner.
Control always stays with you. The platform flags, prioritizes, and explains. Your team makes the decisions, our technology supports your judgment.
Explore our program options:
SaaS-Enabled
For organizations with established payment integrity teams that want more powerful technology to uncover opportunities, accelerate recoveries, and improve operational performance. Maintain full control while leveraging advanced analytics, rapid concept deployment, and guided workflows.
Hybrid Support Model
Combine your team's expertise with targeted analyst support from LBS. Gain additional capacity for complex audits, specialized reviews, or resource gaps while maintaining oversight of your payment integrity program.
Fully Managed
Let LBS manage the day-to-day payment integrity process so your team can focus on broader business priorities. We provide the technology, workflows, and operational support needed to drive recoveries and deliver measurable results.
Post-payment audit engine
Identify overpayments and recovery opportunities without disrupting adjudication.
AI driven prioritization
Focus resources on claims with the highest recovery potential.
Rapid concept deployment
Create and launch new audit concepts quickly to address emerging risks and contain leakage sooner.
Guided workflows and reporting
Standardize reviews and maintain visibility across the recovery lifecycle.
Enterprise-grade security
HIPAA-aligned security and governance designed for payer environments.
Exploratory Audits (Concept Testing)
Test suspected risks and emerging audit concepts to evaluate recovery potential and prioritize future audit opportunities.
What makes us different
LBS turns payment integrity from a reactive function into a unified, technology enabled capability. You stay in control throughout the process. For hybrid vendor environments, the platform still standardizes workflows, evidence capture, and reporting.
- Rapid concept deployment helps teams create, test, and launch new audit concepts quickly, reducing time to value and helping contain leakage sooner.
- Explainable prioritization highlights high-value claims and clearly explains why they matter, improving confidence in every recommendation.
- Centralized payment integrity operations reduce fragmentation and standardize workflows, reporting, and evidence management across vendors and teams.
- Full transparency through documented decisions, audit trails, and reporting that support leadership visibility, compliance, and governance.
- Provider-friendly recovery with a no auto-deny approach. Documented audit findings help support accurate and efficient recoveries.
Case Study: Scaling Success Without Added Complexity
A mid-sized regional health plan faced growing claim volume within a complex vendor environment. Without better coordination, overlapping efforts and inefficiencies threatened to limit performance and future gains.
By partnering with LBS, the plan created a more aligned, efficient approach that worked alongside existing partners:
- Integrated with current vendor relationships
- Reduced duplicate reviews across partners
- Simplified workflows and coordination
- Embedded payment integrity into ongoing operations
The result: sustained year-over-year performance growth and a more scalable model for long-term payment integrity success.
Case Study: From Sprawling Effort to Focused Impact
A regional health plan had built its post-pay audit program over time, layering reviews across a wide range of claim types. While well-intentioned, this fragmented approach spread resources too thin and limited measurable returns.
By partnering with LBS, the plan shifted to a more focused and strategic model:
- Centralized payment integrity audits
- Standardized workflows across teams
- Prioritized high-opportunity claim types
- Reduced low-value audit activity
The result: immediate financial impact and a scalable foundation for ongoing performance.
Take the first step towards smarter recovery
Ready to see what smarter recovery can look like? Connect with our team to discuss your current payment integrity program and explore the right engagement model for your needs.
