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About Lorica Health

Lorica Health is the new name for CMC Insurance Solutions the team behind HIBIS - the leakage detection software that's been helping 30 of Australia's private health funds to get more value from their claims data. Born out of research, our team of domain experts, data scientists, analysts and engineers continue to deliver industry specific solutions targeting fraud, abuse, waste and error, and supporting markets that improve the quality and safety of health care delivered in Australia.

HIBIS
HIBIS is the industry standard in leakage detection, featuring an ever-expanding set of 400 rules targeting fraud, abuse, waste and errors across hospital, medical and ancillary claims. HIBIS advanced workflows and reporting capabilities also optimise the efficiency of your recovery efforts to ensure a strong return on investment for your fund. In addition, our alert optimisation project is harvesting user feedback to sharpen the accuracy and efficiency of HIBIS alerts.

I+PLUS
I+PLUS is a claims analytics platform that supports provider benchmarking, actuarial analysis and contract negotiation. The solution features a comprehensive clinical analytics tool kit, including advanced visualisations, network analytics, risk scoring and high performance data processing designed to improve the navigation, discovery, reporting and management of clinical performance metrics.

Recoveries Practice
Lorica Health's recently launched Recoveries Practice allows funds to outsource their claims audit activities to our experienced and expert team dedicated to increasing your recoveries. The service is available on a commission basis offering a positive return with impacting on a fund's Management Expense Ratio (MER).

Learn more
To find out more about our solutions and services while at the Fraud Forum, contact Tim Yeates on 0408 643 438 to arrange a meeting, or speak with any of our brightly shirted LORICA team.

For current HIBIS users, be sure to bring your questions, suggestions and YubiKeys to receive a complimentary gift.

VISIT: www.loricahealth.com

CALL:1-800-LORICA or 1800 576 422

FOLLOW ON TWITTER: @LORICAHEALTH