PCG Software, Inc. Information

Our AI claims adjudication auditing software, Virtual Examiner (VE), helps health plans, managed service organizations (MSOs), independent physician associations (IPAs), increase profitability, compliance, and workflow efficiency. Every night, VE audits every claim down to the line item against 3 years of claims (episode of care), ensuring maximum cost savings and compliance. Your daily reports tell you every reason to deny, reduce, or pend a claim for review. It's 100% claims auditing; it's targeted auditing, and it's a profit-producing machine. VE is not a SaaS model; you buy and install VE on your server, ensuring we never receive any PHI or your confidential information or data. FREE AUDITS: For every new prospective payer client, we perform a FREE 3-year claims audit and then present in person what VE would have saved if active during that timeframe, our 90-day ROI, and pricing. Visit our website to get a FREE trial.