Transaction Data
Eligibility, claim submissions, acknowledgments, and remittance records.
TECHNOLOGY & APPROACH
Proprietary healthcare claims analytics technology that transforms complex EDI and reimbursement data into actionable intelligence for providers, healthcare organizations, and legal professionals.
PROPRIETARY, PATENT-PENDING PLATFORM
Accord’s proprietary, patent-pending platform captures and analyzes healthcare transaction data from clearinghouses and ANSI-compliant EDI systems. It transforms complex EDI and reimbursement data into actionable intelligence for healthcare claims analysis, reimbursement recovery reviews, compliance and audit support, and litigation analysis.
By examining transaction data alongside payment activity, plan documents, and communications, Accord connects the technical record with the administrative context needed to understand complex healthcare payment matters.
An analytical framework connecting transaction history, payment activity, and administrative evidence.
Illustrates possible stages of review; individual claims may not involve every stage.
CONNECTED INFORMATION LAYERS
Healthcare transactions generate information across systems, documents, and organizations. Accord brings those pieces together to clarify what happened, identify discrepancies, and reveal the evidence needed to determine next steps.
Eligibility, claim submissions, acknowledgments, and remittance records.
Reimbursement patterns, adjustments, repricing, and payment reconciliation.
Plan documents, agreements, correspondence, and appeal records.
Findings that inform reimbursement reviews, compliance assessments, and litigation analysis.
OUR APPROACH
Accord connects technical transaction data with the administrative context needed to understand complex healthcare payment matters.
Bring together relevant transaction files, payment records, documents, and communications.
Trace the healthcare administrative lifecycle and establish a supported chronology.
Identify discrepancies, reimbursement patterns, documentation gaps, and issues requiring further review.
Translate findings into clear analysis that supports practical decisions, appeals, negotiations, and litigation preparation.
Contact Accord to discuss a reimbursement question, transaction analysis project, or litigation support need.