We bring simplicity to the business of care.
We’re proud to be a leading healthcare technology company. With more than 30 years of payment accuracy expertise as ClaimsXten, our solutions leverage the power of machine learning and predictive analytics to empower health plan payers to increase payment accuracy and integrity.
Welcome to Lyric
We are the payment integrity solution you can trust.
Our team has over 30 years of industry experience, with a 91% solutions services rating and a 4.6 out of 5 customer service rating.
With a 99% customer retention rate, we’ve provided our customers with an annual savings of $12-14B, and 9/10 of the top payers work with us.
We aim to simplify the business of care. How?
A world-class solution.
Our ambition is to provide best-in-class technologies sitting at the intersection of healthcare and fintech, providing simplified consumer and patient solutions to health plans and providers in the wake of value-based care. As Lyric, formerly ClaimsXten (CXT), we’re building our future upon our more than 30 years of expertise as a leader in payment accuracy solutions.
Our Heritage as a Market Leader
Our focus remains: to ensure our customers’ ongoing success by enhancing our ClaimsXten (CXT) product offerings and providing exceptional value.
Where We Are Going
Our holistic payment accuracy platform, 42, will proactively monitor the health of customers’ payment integrity programs.
We’re Swiftly Evolving
We use our expertise to build technology-based solutions while strategically offering partner editing capabilities through our pre-built integrations for faster speed to value.
Our Solutions
Our solutions are revolutionary. We're evolving to meet industry imperatives and customers’ needs ensuring unwavering value at every step.
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Lyric 42 Platform
Our platform delivers the advantages of a multi-vendor strategy but with the simplicity of an integrated offering while unlocking new value.
Pre-Pay Editing
Combining our robust ClaimsXten secondary editing solution with your ClaimsXten or other primary editing capabilities can ensure that your payment accuracy program is providing maximum impact.
Diagnostics Module
Our Diagnostics Module is a partnership with Concert. The science of diagnostic testing has unlocked exciting advancements in health and medicine. Unfortunately, the complexity of these tests has also led to confusion and waste for health plans, providers, and members. Together with Concert, we’re simplifying the payment accuracy of your laboratory and genetic testing claims. Unlock accurate payments, greater administrative efficiencies, low provider abrasion, and more consistent payment decisions for members and laboratories.
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Coordination of Benefits (COB)
Lyric COB accesses deeper and distinct data insights than standard COB systems offer for complex health plan member segments through a powerful partner network that leverages advanced technology, progressive product architecture, proprietary analytics and highly specialized teams. It delivers nuanced, actionable data resulting in faster identification of overpayments or inaccurate payments.
Concept Libraries
For ClaimsXten (CXT) and ClaimsXten Select (CXT Select) customers utilizing the default content framework. The comprehensive, clinically based editing content can be individually licensed, so you can purchase what you need now, with the ability to purchase additional rules and policies as needed.
KnowledgePacks
KnowledgePacks for ClaimsXten (CXT) and CXT Select (CXT Select) customers. We are proud to offer Lyric KnowledgePacks—specialized, sourced, and nationally adopted clinical content—that provide the foundation of rules and logic needed to execute payment policies and guidelines.
LyricIQ
LyricIQ is an AI-powered payment accuracy service. With advances in technology, processes that once were cumbersome can now be more efficient and data can be quickly analyzed by Lyric’s teams. Backed by Lyric’s 30 years of unrivaled clinical content expertise as ClaimsXten, LyricIQ’s advanced technological capabilities drastically reduce the timeline for data collection and review and, most importantly, reduce the time to realization of savings—from years and months to weeks.
"Through the ClaimsXten solution and Lyric’s expertise in secondary claim editing, our organization has enabled deeply vetted concepts that are effective, appropriate, and defensible. We appreciate the flexibility in working with Lyric as a trusted ally; they have contributed significantly to our shared success.”
— Well-known Blue Cross Blue Shield carrier
Our Approach
Allyship underpins everything we do.
We are creating technology that is fair, transparent, and upholds privacy and safety.
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We ensure our claims evaluations are transparent and easily comprehensible for reviewers.
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Data is securely protected and used in accordance with data governance policies.
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We have defined responsibilities and procedures to evaluate our technology's outputs, always prioritizing human autonomy and safety.
News and Media
See Lyric in the news, driving innovation and excitement.
