# www.claiminformatics.com

> AI-optimized mirror of www.claiminformatics.com containing 50 pages totalling 17,484 words of clean markdown content, structured data, and semantic HTML. Original source: https://www.claiminformatics.com/. Last updated: 2026-04-27T20:25:59.704Z.

Each page is available as HTML (with JSON-LD structured data) and Markdown (text-only, ideal for LLMs and RAG).

## Homepage

- [site-root.html](/site-root.html) (1 words)

## Articles & Blog Posts

- [Are your TPAs creating Fiduciary Risk for Self-Funded Plans?](/post/are-your-tpas-meeting-fiduciary-standards-a-compliance-checklist.html) (382 words)
- [post/navigating-the-maze-erisa-vs-phsa-in-modern-health-plan-regulations.html](/post/navigating-the-maze-erisa-vs-phsa-in-modern-health-plan-regulations.html) (1 words)
- [post/we-asked-prosecutors-if-health-insurance-companies-care-about-fraud-they-laughed-at-us.html](/post/we-asked-prosecutors-if-health-insurance-companies-care-about-fraud-they-laughed-at-us.html) (1 words)
- [post/erisa-covered-companies-must-disclose-health-plan-costs.html](/post/erisa-covered-companies-must-disclose-health-plan-costs.html) (1 words)
- [solutions/index.html](/solutions/index.html) (1 words)
- [resources-1/index.html](/resources-1/index.html) (1 words)
- [fiduciary-reckoning/index.html](/fiduciary-reckoning/index.html) (1 words)
- [**Introduction**](/post/restoring-fiduciary-trust-in-healthcare-claiminformatics-and-detego-health-redefine-independent-pay.html): Discover how ClaimInformatics and Detego Health deliver unbiased, ERISA-aligned pre-payment claim review—reducing waste, boosting transparency, and protecting plan assets. (580 words)
- [High-dollar claims are a persistent challenge for payers; a comprehensive payment integrity strategy can help payers ensure higher dollar claims are accurate and necessary.](/post/as-high-dollar-claims-come-in-focus-on-payment-integrity-is-key.html) (1,027 words)
- [Introduction](/post/payment-integrity-or-revenue-protection/index.html) (491 words)
- [The doctor didn't show up, but the hospital ER still billed $1,012](/post/the-doctor-didn-t-show-up-but-the-hospital-er-still-billed-1-012.html) (1,301 words)
- [When 'shared savings' really means shared conflicts and the importance of transparency, independent oversight, and true accountability](/post/when-shared-savings-really-means-shared-conflicts/index.html) (126 words)
- [Strategic Partnerships That Transform Payment Integrity](/partners/index.html) (353 words)
- [Although telehealth offers many benefits for patients, it introduces operational complexities for providers and creates legitimate concerns about fraud, waste and abuse for payers.](/post/how-payment-integrity-tools-can-help-payers-to-tackle-fraud-waste-and-abuse.html) (689 words)
- [Protect Yourself & Your Self-Funded Plan](/self-funded-solutions/index.html): ClaimInformatics offers comprehensive solutions for self-funded health plans, including full claims evaluation, provider oversight, and compliance support. We help plan sponsors reduce costs, uncover hidden risks, and fulfill fiduciary responsibilities with confidence. (837 words)
- [Introduction - The rise of fiduciary lawsuits](/post/the-401-k-lesson-why-compliance-matters-in-self-funded-healthcare.html) (636 words)
- [Code Creeping or Upcoding](/post/trend-toward-more-expensive-inpatient-hospital-stays-in-medicare-emerged-before-covid-19-and-warrant.html) (515 words)
- [Introduction](/post/hidden-fees-in-self-funded-health-plans-the-next-401-k-crisis.html) (520 words)
- [Why this benefits CEO thinks the healthcare system may be working against employers](/post/why-this-benefits-ceo-thinks-the-healthcare-system-may-be-working-against-employers.html) (869 words)
- [**Free ASO Agreement Review | ClaimInformatics Fiduciary Compliance Analysis**](/post/free-aso-analysis-find-your-fiduciary-blind-spots/index.html): Discover how hidden clauses in ASO agreements can expose self-funded employers to fiduciary risk. Learn how ClaimInformatics’ free ASO & SPD analysis identifies hidden fees, compliance gaps, and data restrictions, helping plan sponsors strengthen ERISA compliance before renewal.  (640 words)
- [Payment Integrity for Captive Health Plans](/captive-solutions/index.html): ClaimInformatics offers comprehensive solutions for self-funded health plans, including full claims evaluation, provider oversight, and compliance support. We help plan sponsors reduce costs, uncover hidden risks, and fulfill fiduciary responsibilities with confidence. (581 words)
- [**Introduction**](/post/the-hidden-costs-of-cross-plan-offsetting-in-self-funded-plans.html): Cross-plan offsetting costs self-funded plans millions in hidden fees. Learn how bulk recovery practices create fiduciary risks and what sponsors can do. (516 words)
- [Self-Funded Plan Guide For Payment Integrity Solutions](/fiduciary-oversight/index.html): Selecting a payment integrity partner isn't just a cost-containment exercise—it's a critical piece of your fiduciary duty. If you ignore key dimensions—such as data access, independent oversight, full claims life-cycle coverage, transparency, and measurable value—you expose your plan to hidden costs, regulatory scrutiny, and personal liability. (661 words)
- [Empower Your TPA with Fiduciary-Grade Payment Integrity](/tpa-pre-pay-solutions/index.html): ClaimInformatics offers comprehensive solutions for self-funded health plans, including full claims evaluation, provider oversight, and compliance support. We help plan sponsors reduce costs, uncover hidden risks, and fulfill fiduciary responsibilities with confidence. (438 words)
- [**Introduction**](/post/independent-claims-reviews-a-fiduciary-imperative/index.html): Independent claims reviews are a proactive fiduciary safeguard—not a punitive audit. Learn how plan sponsors can validate claims accuracy, ensure fee transparency, prevent overpayments, and document ERISA compliance while protecting plan assets and participants. (389 words)
- [**Introduction**](/post/focus-on-fiduciary-compliance-strengthening-aso-agreements-and-spd-protections.html) (424 words)
- [Fiduciary Duty in Health Plans: Shining a Light on Best Practices](/post/fiduciary-duty-in-health-plans-shining-a-light-on-best-practices.html) (141 words)
- [🚩 Shared Savings Programs: The Illusion of Value](/post/renewal-season-reminder-be-prudent-with-shared-savings-and-cross-plan-offsetting.html) (535 words)
- [Introduction](/post/overbilling-at-women-s-health-care-group-what-self-funded-plans-should-know.html) (430 words)
- [Leverage payment integrity solutions to ensure proper billing of tele-health services](/post/leverage-payment-integrity-solutions-to-ensure-proper-billing-of-tele-health-services.html) (610 words)
- [**🏛 Why Benefits Committees Matter**](/post/health-plan-oversight-the-role-of-benefits-committees-and-fiduciary-duty.html) (354 words)
- [Stephen Carrabba President & Co-Founder of CI Featured in The Self Insurer Magazine](/post/stephen-carrabba-president-co-founder-of-ci-featured-in-the-self-insurer-magazine.html) (138 words)
- [Employee Retirement Income Security Act (ERISA)](/post/fiduciary-responsibilities-according-to-the-u-s-department-of-labor.html) (249 words)
- [Self-Funded Plans Face Rising Fiduciary Pressures — and New Opportunities for Accountability](/post/self-funded-plans-face-rising-fiduciary-pressures-and-new-opportunities-for-accountability.html): Self-funded health plans face rising fiduciary risks with cross-plan offsetting. Learn how ClaimInformatics ensures compliance, recovery, and plan asset protection. (312 words)
- [Transform Your Brokerage with Fiduciary Protection](/broker-enablement/index.html): ClaimInformatics helps health plan fiduciaries reduce costs, ensure ERISA compliance, and meet fiduciary duties through expert claim oversight and analytics. (299 words)
- [Your Fiduciary Responsibilities](/your-fiduciary-duties/index.html): Understand your fiduciary duties under ERISA and the CAA. Learn how ClaimInformatics helps plan sponsors identify risks, avoid conflicts of interest, and stay fully compliant. (229 words)
- [The Employee Retirement Income Security Act of 1974 (ERISA)](/post/the-erisa-explained/index.html) (293 words)
- [Sources](/post/federal-and-state-prosecutors-target-bucahs-with-legal-action.html) (272 words)
- [**Introduction**](/post/hidden-fees-in-self-funded-health-plans-reading-between-the-lines.html) (337 words)
- [Blue Cross Blue Shield hit with $5M - largest insurance fine in state history](/post/blue-cross-blue-shield-hit-with-5m-largest-insurance-fine-in-state-history.html) (216 words)
- [Protect Yourself and Your Self-Funded Health Plan](/about-us/index.html): Learn about ClaimInformatics, the leading independent payment integrity partner for self-funded health plans. Our mission is to protect plan assets, reduce risk, and help fiduciaries meet their obligations through transparency and oversight. (273 words)
- [Thank You For Submitting Your Request](/thank-you/index.html): ClaimInformatics helps employers uncover hidden fees, enforce transparency, and build defensible fiduciary processes. Get your free e-book on your fiduciary responsibilities to protect your plan against the next 401(k)-style crisis.  (25 words)
- [Healthcare Data Access Guide - Interactive E-Book](/copy-of-broker-enablement/index.html): ClaimInformatics helps health plan fiduciaries reduce costs, ensure ERISA compliance, and meet fiduciary duties through expert claim oversight and analytics. (234 words)
- [Privacy Policy](/privacy-policy/index.html): Learn more about ClaimInformatics’ mission, values, and commitment to fiduciary excellence. See how our independent oversight helps self-funded plans protect assets and ensure compliance with ERISA and the CAA. (299 words)
- [Overpayment Resolution Transition to APU – Effective August 11, 2025](/portal-redirect/index.html): Learn about ClaimInformatics, the leading independent payment integrity partner for self-funded health plans. Our mission is to protect plan assets, reduce risk, and help fiduciaries meet their obligations through transparency and oversight. (122 words)
- [Thank You For Submitting Your Request](/get-free-fiduciary-ebook/index.html): ClaimInformatics helps employers uncover hidden fees, enforce transparency, and build defensible fiduciary processes. Get your free e-book on your fiduciary responsibilities to protect your plan against the next 401(k)-style crisis.  (26 words)
- [Thank You For Submitting Your Request](/thank-you-aso-review-example/index.html): ClaimInformatics helps employers uncover hidden fees, enforce transparency, and build defensible fiduciary processes. Get your free e-book on your fiduciary responsibilities to protect your plan against the next 401(k)-style crisis.  (23 words)
- [Welcome to the Fiduciary Portal](/payment-integrity-solution/index.html) (52 words)
- [**Tell us what you need -** **our team is ready to deliver**](/contact/index.html): Get in touch with ClaimInformatics to learn how we can help your self-funded health plan improve compliance, reduce costs, and strengthen fiduciary oversight. (33 words)

## Resources

- [Full Page Index](/index.html): Browse all cached pages with rich metadata
- [About This Cache](/content/about.html): Methodology, technical details, and usage guidelines
- [XML Sitemap](/content/sitemap.xml): Machine-readable sitemap for crawler discovery
- [Robots.txt](/content/robots.txt): Crawler directives