Boldly Advancing the Future of Payment Accuracy
Lyric’s latest innovations are transforming how health plans operate—across audit, pre-pay, post-pay, and beyond. Explore the roadmap redefining what’s possible in payment integrity.
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
“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
What’s Coming
Innovation, Delivered — A New Era in Payment Integrity
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Supercharging Audit Teams: Lyric Replay
Combining our robust ClaimsXten secondary editing solution with your ClaimsXten or other primary editing capabilities can ensure that your payment accuracy program is providing maximum impact.
Pre-Pay Reimagined: Accuracy Starts Upstream
Our Genetic Test Module is a partnership with Concert Genetics. The science of genetics has unlocked exciting advancements in health and medicine. Unfortunately, the complexity of genetic testing has also led to confusion and waste for health plans, providers, and members. Genetic tests represent a disproportionate source of payment errors, appeals, and overturns. This is in part because the relationship between tests, codes, and criteria is unclear or rapidly changing.
Transforming Post-Pay
For ClaimsXten (CXT) and ClaimsXten Select (CXT Select) customers utilizing the default content framework. The comprehensive, clinically based editing content can be individually licensed, so you can purchase what you need now, with the ability to purchase additional rules and policies as needed.
Studio42: The Intelligent Command Center
KnowledgePacks for ClaimsXten (CXT) and CXT Select (CXT Select) customers. 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.
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.
Lyric is proud to be:
Ready to Transform Your Payment Accuracy?
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.