Healthcare decision intelligence for payment accuracy.
A quarter of healthcare spending is waste, much of it is administrative. Lyric cuts waste by applying policy, data, AI, and expert clinical review after care and before payment, helping health plans get payments right with intelligence that is independent, verified, and explainable.
9
35y
of the top 10 U.S. health plans rely on Lyric
years of proven results
21y
190m
Average client tenure
lives supported
Why Lyric exists
We believe in better healthcare for humankind.
Removing waste from the system is part of how we get there.
The U.S. healthcare system is nearly $5 trillion. Administrative waste accounts for $266 billion every year.
Health plans process 3 billion claims annually. Every one has to be right. But regulations shift. Codes change. Documentation varies. The system moves fast. The intelligence has to match it.
That is the problem Lyric solves. Lyric’s healthcare decision intelligence helps health plans make more consistent, explainable payment decisions by verifying claims against policy, codes, and documentation, applying clinical validation, surfacing what matters, and explaining why it matters.
The right intelligence can prevent waste before it moves through the system.
Accurate payments. Explainable findings. More confidence.
Lyric builds healthcare decision intelligence to augment human decision-making. We verify claims after care and before payment, surface what matters, and explain why it matters.
Every finding is independent, grounded in policy, codes, and documentation, and delivered with a visible rationale clients can review, evaluate, and act on with confidence.
Lyric42
Monitors payment integrity signals, surfaces change, and helps teams prioritize review all in one place. The intelligence layer that keeps your program connected and current.
Our AI Philosophy
At Lyric, AI supports human expertise. It does not replace it. We use AI to help teams work with clearer, more consistent information grounded in clinical context, policy knowledge, and transparent rationale.
Our approach is intentionally designed with multiple layers of control, combining AI-driven insights, clinical validation, client-controlled implementation, and strong data protection.
We use AI responsibly to reduce waste and support accurate payments, helping build a healthcare system grounded in trust, truth, and transparency.
"Through ClaimsXten and Lyric's secondary claim editing expertise, our organization has been able to apply concepts that are effective, appropriate, and defensible. Lyric has been a trusted ally and a significant contributor to our shared success."
News and Media
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