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FOR INSURERS
Build a faster, more intelligent claims operation
Every claim begins with a question:
Covered?Service covered?Provider authorized?Tariff correct?Legitimate?Duplicate?
Qsinc brings those questions into the healthcare workflow—before they become expensive problems.
Move claims control upstream—before leakage becomes a payment.
Verify before you pay
At the point of care, Qsinc can verify:
Member eligibilityBenefit availabilityCoverage limitsProvider network statusTariffsMember responsibilityPre-authorization requirements
Move from post-claim investigation to real-time control.
Automated Claims
From submission to reconciliation—without the paper trail
Every claim carries the data needed for the next decision.
Step 1 of 6
Digitally submitted
Providers submit claims digitally.
Submit — Digitally submitted
FRAUD & LEAKAGE
Find the anomalies humans miss
Qsinc brings healthcare claims and utilization data together to help identify:
Duplicate claims
The same service billed more than once.
Unusual utilization
Usage patterns that don't match the member profile.
Tariff anomalies
Charges that don't match configured tariffs.
Suspicious billing patterns
Provider billing that deviates from its own history.
Potential fraud
Signals that warrant a closer look before payment.
Don't wait until the end of the claims cycle to discover leakage.
Ready to transform your claims process?
Talk to us about detecting fraud earlier, cutting administrative cost, and giving policyholders a transparent experience.
See Qsinc for Insurers