The Payment Integrity Solution You Can Trust.
Our team has over 30 years of industry experience, with a 91% solutions services rating and a 4.6 out of 5 customer service rating.
99%
Customer Retention Rate
$12-$14B
Annual Savings Across our Customer Base
9/10
of the top payers work with us
Lyric will simplify the business of care
Our ambition is to be an AI-first platform sitting at the intersection of healthcare and fintech, providing simplified consumer and patient solutions to health plans and providers in the wake of value-based care. As Lyric, formerly ClaimsXten (CXT), we’re building our future upon our more than 30 years of expertise as a leader in payment accuracy solutions.
Our Heritage as a Market Leader
Our focus remains: to ensure our customers’ ongoing success by enhancing our ClaimsXten (CXT) product offerings and providing exceptional value.
How We’re Swiftly Evolving
We’ll use our expertise to build AI and technology based solutions while strategically offering partner editing capabilities through our pre-built integrations for faster speed to value.
Where We Are Going
Our holistic payment accuracy platform will proactively monitor the health of customers’ payment integrity programs.
Our Values
Character
We do what’s right. We are candid, act with the utmost integrity, and do not waver. We are transparent and optimistic. That’s why we are so widely trusted.
Commitment
We’re committed to both business and personal success, continuous improvement, and positive change.
Community
We are inclusive, take care of one another, and contribute to causes that support our communities.
Courage
We have the courage to act, to speak, to dream big, to decide, to take initiative, and lead.
Customer
We exist to serve our customers and champion fairness in the healthcare system. We treat both external and internal customers with prompt, consistent, and exemplary care.
Our Solutions
Pre-pay Editing
Our pre-pay claim edit engine and rules are the foundation of our solutions. From our market-leading primary edits to our customizable secondary edits and policy, we’re primed to help customers ensure their payment accuracy program is maximizing savings and maintaining integrity. Learn more
Concept Library
Our Concept Library is perfect for customers who need flexibility to enhance their payment accuracy program. New content and policies are available to license each quarter. Learn more
Knowledge Packs
We are proud to offer Lyric KnowledgePacks—specialized, sourced, and nationally adopted clinical content—that provide the foundation of rules and logic needed to execute payment policies and guidelines. Learn more
Lyric
Platform
Lyric’s platform connects to a customer’s transactional system just once, enabling a range of 1st and 3rd party Payment Integrity solutions. Our modern data platform and AI/ML management tools are offered as a scalable cloud hosted solution with multiple enterprise grade security controls and a single system to manage and troubleshoot in production. Learn more
Genetic Test Module
In partnership with Concert Genetics, we provide genetic test edits provide insight into the type of test represented by complex, multi-code claims and return precise payment instructions backed up by evidence and coding rules. Learn more
LyricIQ
Combines ClaimsXten (CXT) and other edits, rules, AI and human expertise into an integrated service that surfaces unrealized value, serving as a one-stop shop for integrating capabilities across the payment accuracy value chain. Learn more
Our Leadership Team
Our Company History
1989
GMIS Started (ClaimCheck)
1990
Code Review Acquisition
1996
HBOC/GMIS Acquisition
1998
McKesson purchases HBOC
2005
McKesson purchases Intelliclaim (ClaimsXten)
2017
MHS merges to become Change Healthcare (CHC)
October 2022
Optum acquires CHC; ClaimsXten Portfolio divested to become stand-alone privately held company
April 2023
ClaimsXten Portfolio becomes Lyric AI; Lyric envisions simplifying the business of care building upon ClaimsXten rules engine and using innovative technology, including AI, blockchain, large language models, and more.
Ready to maximize your savings?
Complete our contact form and we’ll reach out to you! Or please email: sales@lyric.ai.