Boldly Advancing the Future of Payment Accuracy
Lyric is transforming the future of healthcare claims management with intelligent, end-to-end payment integrity solutions. Our advanced AI platform helps health plans prevent overpayments, detect errors earlier, automate audits, and improve financial performance—all while reducing friction with providers.
Explore the roadmap redefining what’s possible in payment integrity.
Ready to take the next step?
From Complexity to Clarity
Lyric is setting a new standard in payment integrity. With our next-gen innovation roadmap, we’re unifying siloed operations and powering smarter, faster decisions at scale. The future of payment integrity isn’t patchwork—it’s connected, intelligent, and built for speed.
AI-Powered Insight
End-to-End Speed
Proven Security
What’s Coming
Discover the New Era of Healthcare Payment Accuracy
Built for today’s complex and high-stakes environment, Lyric’s latest innovations deliver real-time insights, seamless interoperability, and powerful automation—empowering payers to simplify operations and scale value-based care.
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Lyric Replay: Supercharging Audit Teams
Boost audit capacity. Reduce manual effort. Recover more.
Replay is Lyric’s next-generation audit automation engine that supercharges internal audit teams. By leveraging AI to intelligently prioritize high-impact claims and automate complex workflows across DRG validation, COB review, and itemized bill analysis, Replay enables teams to achieve up to 3x greater productivity and 4x more findings—while minimizing dependency on external vendors.
Ideal for: Health plans seeking to scale audit operations
Outcomes: Higher audit throughput, faster case resolution, stronger cost recovery
Pre-Pay Reimagined: Accuracy Starts Upstream
Stop errors before they cost you.
Our enhanced pre-payment solution combines anomaly detection, expert clinical review, and advanced editing logic to intercept claim errors across high-cost, high-complexity areas—such as emergency department utilization, modifier misuse, drug coding, and anatomical consistency. By resolving issues before payment, health plans can reduce downstream rework, payment delays, and unnecessary denials.
Ideal for: Plans aiming to lower rework rates and ensure clean claims
Outcomes: Fewer claim errors, reduced provider abrasion, improved pre-pay integrity
Post-Pay Optimization—Intelligent Recovery and Feedback Integration
Recovery is just the beginning.
Lyric’s new post-payment strategy leverages data mining, AI-assisted overpayment identification, coordination of benefits (COB) optimization, and itemized bill review to recover missed dollars with greater precision. Unlike traditional “recover and repeat” models, insights from post-pay findings are continuously fed upstream to improve pre-pay performance—creating a virtuous cycle of continuous improvement.
Ideal for: Health plans looking to modernize post-pay operations
Outcomes: Higher recovery rates, fewer recurring issues, improved lifecycle integration
Studio42: A Real-time Intelligent Command Center
See everything. Act faster. Improve outcomes.
Studio42 is the intelligent front door to Lyric42—a unified dashboard that aggregates payment integrity data, real-time analytics, predictive modeling, and workflow orchestration in a single, intuitive interface. It provides instant visibility into vendor performance, claim-level opportunities, audit trends, and operational insights—all designed to help teams make faster, data-driven decisions with confidence.
Ideal for: Enterprise payment integrity teams and decision-makers
Outcomes: Centralized control, reduced lag time, proactive decision-making
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The Power of Lyric42
At the heart of every innovation is Lyric42—a cloud-native platform that powers it all. Say goodbye to disjointed tools and legacy tech. With plug-and-play access to review, editing, and industry-leading partner tools, Lyric42 delivers scale, simplicity, and smarter payment decisions.
Take the Next Step Toward Smarter Payment Integrity
Healthcare payment integrity doesn’t have to be slow, reactive, or fragmented. With Lyric, it’s intelligent, proactive, and connected. Let’s build a smarter future—together.
What Industry Leaders Are Saying
“We’re helping health plans move faster, reduce friction with providers, and future-proof their operations—with a platform built not just to keep up, but to transform and simplify payment accuracy and the business of care.”
— Rajeev Ronanki, CEO, Lyric
“This is about more than operational improvement; it’s about reshaping the future of healthcare transactions to be faster, more transparent, and fundamentally more intelligent.”
— Brian Berkowitz, Chief Product Officer, Lyric
Lyric is proud to be:
