Lyric and Concert Expand Partnership to Deliver Laboratory Payment Accuracy Solution
The Diagnostics Module—available through Lyric’s expanded partnership with Concert—will seamlessly deliver Concert’s integrated policy and payment accuracy capabilities for a growing scope of laboratory testing
Lyric, an AI-first leader in payment accuracy, has expanded its partnership with Concert to deliver payment accuracy across a rapidly expanding set of advanced and routine laboratory tests, the companies announced today.
The Diagnostics Module, formerly known as the Genetic Testing Module, will expand to address outpatient infectious disease testing, which has become the largest area of outpatient lab spend for many health plans, due to the increases in testing during the COVID-19 pandemic. Together, Concert and Lyric will deliver a technology solution for laboratory payment accuracy that is transparent, reduces the chance for errors, and is minimally abrasive.
“Managing the growth and complexity of laboratory testing is a top priority for many of our health plan customers,” said Lyric CEO Rajeev Ronanki. “Combining Lyric’s market-leading payment accuracy capabilities with Concert’s data, clinical policies, and AI-powered edits will deliver unparalleled accuracy for our customers and aligns with our strategy to bring best-in-class partner solutions to customers via Lyric’s technology.”
The solution will deliver Concert’s claim editing—based on its integrated payment policy and medical policy content—through a seamless customer experience. The companies expect to continue to expand this solution to a broadening set of laboratory testing, delivering a level of transparency and accuracy not available from others on the market.
“Concert is rapidly deploying solutions to enable transparency, efficiency, and value in precision health services, including diagnostics and therapeutics,” said Concert CEO Rob Metcalf. “Partnering with Lyric makes these solutions available to customers where they want them, in a solution they use and trust, with minimal implementation and maintenance effort required. The ultimate beneficiary is the health consumer who can access precision healthcare at lower costs.”
Lyric and Concert first partnered in 2023 to deliver an integrated genetic test management solution. The expanded Diagnostics Module is expected to be available to customers in summer 2024.
About Lyric
Lyric, formerly ClaimsXten, is a leading healthcare technology company. Over 30 years of experience, dedicated teams, and top technology help deliver more than $14 billion of annual savings to our many loyal and valued customers—including 9 of the top 10 payers across the country. Lyric’s solutions serve as the foundation for streamlining increasingly complex claims payment processes, bringing the insights needed for more precision and efficiency along the continuum. Lyric serves many of the nation’s largest commercial and government-sponsored health plans, responsible for covering more than 185 million lives. Lyric’s strong relationships as a trusted ally to customers resulted in recognition from KLAS as “true partner” and “excellent value for investment,” with a top score for overall customer satisfaction and A+ likelihood to recommend in their October 2023 Payment Integrity and Accuracy Report.
As part of its vision to simplify the business of care, Lyric is investing in AI driven technology to ease implementation and speed to value for customer savings, while offering enhanced and newly available solutions through internal product development and strategic partnerships, including recently announced partnerships with Concert Genetics, Autonomize AI, Codoxo, and now Strout and Datumsure.
About Concert
Concert is a healthcare technology company enabling cost-effective access to diagnostics and therapeutics by harmonizing evidence, policy, and payment. Founded in 2010 to bring transparency and efficiency to genetic testing, Concert now offers the definitive precision health payment accuracy platform. The company combines proprietary market data, clinical and coding expertise, and patented technology to support diagnostic test ordering, resulting, coding, coverage, claim editing, and payment integrity. Concert Genetics, now operates by its abbreviated name, Concert. For more information, visit www.concert.co.
