Site and Experiments under active R&D - please excuse our mess!
Site and Experiments under active R&D - please excuse our mess!
Over half of insurance claim denials stem from billing errors.
Stop Paying the Same Medical Bill Twice.
Up to 10% of U.S. healthcare spend is duplicated imaging, repeat lab panels, or simple key-entry errors—yet most payors only catch them months later during post-payment audits. By then, appeals are messy, and margins are gone. ClaimClean sits pre-adjudication, hash-matches every new CPT code to a member’s recent history, and flags duplicates in 50 ms—saving millions before a single dollar leaves the bank.
Hypothesis: Mid-tier insurers will sign a paid 3-month pilot if ClaimClean demonstrates ≥ 2 % gross savings on a 100 k-claim sample.
• Insurer uploads 1,000 anonymized claims → we run duplicate scan.
• Present a savings report.
• Pass if insurer issues an LOI committing to the pilot.
50 ms hash-match catches imaging and lab duplicates before payment, preventing leakage instead of chasing claw-backs months later.
Real-time dashboard shows dollars prevented per CPT code and facility, turning anti-fraud wins into board-ready slides.
One-click PDF documents detection logic, timestamps, and claim IDs, slashing overturn rates in provider appeals.
"ClaimClean found $1.4 M in forbidden duplicates our legacy rules missed."
- Marisa Chen, VP Claims Integrity
"Audit-ready PDFs cut appeal turnaround from 30 days to 7."
- Jamie Ortiz, Director SIU
"ROI was 15× pilot cost in the first month—green-lit expansion."
- Stuart Kelly, CFO
ClaimClean never sells or uses member health data for analytics beyond duplicate detection. All processing is HIPAA-compliant; BAA provided. Detection rules are transparent—no “black-box” denials. Providers can appeal via an online portal with complete audit trail.
We delete experiment data after the study or anytime you ask.
Please reach us at claimclean@gowenplaces.com if you cannot find an answer to your question.
REST API or SFTP batch into your adjudication pipeline. <100 ms latency on API, suitable for pre-pay checks.
Data is anonymized before upload; platform is HIPAA-compliant and runs on SOC-2 Type II infrastructure.
$15 k flat for 3 months, refundable if verified savings < 2 %. Full SaaS fee is PMPM with 20 % share of savings.
Copyright © 2025 GowenPlaces - All Rights Reserved. Personal R&D lab operated independently of Geoff Owen’s full-time employer. See the Independence Statement for details.