Founded in 2013, ClaimLogiq is a leading technology-enabled payment integrity provider that delivers savings for health plans by reducing errors in complex claims prior to payment through a proprietary software platform. ClaimLogiq’s payer-facing and highly configurable solution uses cutting-edge machine learning to accelerate the claim review process, enabling a more proactive and transparent approach that drives savings and reduces downstream costs to payers and providers. In addition, the company’s natural language processing technology is leveraged to extract value and critical insights from medical documents to optimize and automate clinical reviews for payment integrity, risk adjustment, and many other use cases.
ClaimLogiq is the only vendor in the market that offers a flexible delivery model whereby clients can use the company’s technology platform to enable their internal payment integrity teams or work with ClaimLogiq’s clinical experts on a fully outsourced basis.
New Mountain’s investment in ClaimLogiq is the latest outgrowth of the firm’s multi-year deep dive in healthcare cost containment, which has included investments in Equian and HealthComp. Due to NMC’s familiarity with the sector, New Mountain identified ClaimLogiq as a leader in the space and completed the acquisition of ClaimLogiq in October 2022 on an exclusive, proprietary basis without an auction.