PhysicianClaim Insight®

PhysicianClaim Insight® from Verisk’s HealthCare Insight (HCI) unit, is a service that helps prevent fraud, abuse, and overpayment for professional healthcare claims. The service examines claims before payment. We’ve designed PhysicianClaim Insight to maximize claims-payment accuracy, identify fraudulent providers, and reduce the cost of claims.

PhysicianClaim Insight combines:

• HCI’s Code Validator Pro® (rules-based) and Fraud Finder Pro® (profiling)  software systems
• claims review by registered nurses experienced in clinical coding
• review of suspect providers by a Clinical Investigative Unit (CIU)SM

You get improved reserves and greater efficiency in identifying fraud.

For more information . . .
. . . about PhysicianClaim Insight, visit the HealthCare Insight website , call us at 1-800-357-7781, or send e-mail to This e-mail address is being protected from spam bots, you need JavaScript enabled to view it