Zero-Data-Storage Claims Integrity Platform
A privacy-preserving, on-premise claims integrity layer that detects high-confidence duplicate and overlap errors in real time and delivers aggregate-only compliance insights, without ever storing or centralizing PHI.
Hospitals lose significant revenue to duplicate and overlapping insurance claims, yet existing solutions rely on cloud-based data warehouses and retrospective audits that introduce privacy, compliance, and operational risk.
Hospitals need a way to detect high-confidence billing issues in real time without exporting or storing Protected Health Information (PHI).
A HIPAA-compliant, on-premise claims integrity layer that detects common duplicate and overlap errors in real time, provides local review tools, and surfaces aggregate-only insights to a cloud dashboard.
Zero PHI storage. Zero compromises.
The Problem
Our Solution
!
Exact Duplicate Claims
Same patient, same date of service, same CPT/HCPCS, same provider
High
Medium
Medium
Line-Level Duplicates
Duplicate CPT/HCPCS codes within or across claims
Temporal Overlaps
Inpatient + outpatient conflicts, ED + inpatient overlaps
Detection Capabilities
All detection runs entirely on-premise, in memory, with zero external data transmission
Each Flagged Event Produces:
Estimated financial impact (simple heuristic)
Rule category and severity level
Claims are flagged and warned, not blocked
All PHI remains inside hospital systems
Zero PHI Export
No PHI leaves hospital environment under any circumstances
Architecture & Security
Non-negotiable security constraints built into every layer
Cloud receives aggregate metadata only—no claim-level data
Outbound only—no remote commands or queries into hospital systems
All analytics executed on-premise with no disk persistence
Aggregate Only Cloud
One-Way Data Flow
In-Memory Processing
Hospital Software Integration
What we Access
CPT / HCPCS codes
Claim headers and line items
Dates of service
Encounter context (inpatient, outpatient, ED)
Provider identifiers (tokenized)
Claim status (new, pending, corrected)
Event-based or near-real-time interception
Read only access
Intercepts after clinical documentation is complete
No interference with clinical workflows
Focus on billing integrity only
How it Works
Local Investigation Experience
On-Premise Features
Side by side comparison of related claims
List of flagged claims with filters
Simple workflow: New - Reviewed - Resolved - Ignored
Local audit log (on-prem persistence allowed)
Export capability for internal reports
No external exports or sharing
No cloud access to claim details
No drill down from cloud dashboard
No remote queries into local system
Exclusions
All claim details remain on-premise with a simple review workflow
Cloud Dashboard (Aggregate-Only)
Displayed Data
Total Dollars at risk
Counts by rule category
Severity distribution
Weekly/monthly trends
No drill-down into claim-level data
Standardized monthly compliance summary
No PHI identifiers, dates of service
Executive ready insights
Reporting
Three key questions answered without ever exposing PHI
01
02
03
How many duplicate or overlapping claims were detected?
What is the estimated financial risk?
Which rules trigger most frequently over time?
Dashboard Capabilities
Healthcare Insurance Claims Integrity
A privacy-first claims integrity solution for hospitals, built to prevent administrative waste before claims leave your system.
© 2026 Healthcare Insurance Claims Integrity Platform. All rights reserved.
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contact@claimsintegrity.com
