Our Solutions
Payment accuracy and integrity solutions
Our mission is to simplify the business of care. We want to help you reduce time to value, reduce admin costs, and simplify technology deployment complexity. When you work with Lyric, we will provide a tailored approach to unlocking pathways to value. By serving over 100 payers with industry-leading customer retention and satisfaction, we’re a trusted and credible partner who can meet the needs of your business.
Lyric 42 Platform
Lyric’s 42 brings value unlocking capabilities by connecting customers to Lyric’s best-in-class partner offerings that span the payment accuracy and cost-of-care continuum. Enabling ease of technology deployment, 42 delivers the advantages of a multi-vendor strategy, while minimizing operational complexity, integration, and administrative costs.
Pre-Pay Editing
Harness the power of Lyric’s ClaimsXten (CXT) market-leading pre-pay editing solutions. Our ambition to simplify the business of care drives us to be more: to harness our 30+ years of expertise as a leader in pre-pay editing as ClaimsXten to create a system of robust payment accuracy solutions, backed by language learning models, and strategic partnerships.
Diagnostics Module
Our Diagnostics Module is a partnership with Concert and is integrated right into our existing ClaimsXten (CXT) solution. Our module provides insight into the type of tests represented by multi-code claims and returns precise payment instructions backed by evidence and coding rules. The result is accurate payments, greater administrative efficiencies, low provider abrasion, and more consistent payment decisions for members and laboratories.
Coordination of Benefits
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.
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. The business of care is evolving. With advances in technology, processes that once were cumbersome can now be more efficient and data can be quickly analyzed by Lyric’s teams. Our 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.
