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Our Solutions

Harness the power of Lyric’s ClaimsXten (CXT) market-leading pre-pay editing solutions.

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Our ambition to simplify the business of care drives us to be more: to harness our 30+ years of expertise as a leader in pre-pay editing as ClaimsXten to create a system of robust payment accuracy solutions, backed by AI, language learning models, and strategic partnerships.

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We’re proud to offer our comprehensive pre-pay editing solution—including primary and customizable secondary edits.

As a Lyric customer, you now have the opportunity to implement our full content library and robust policy management capabilities developed and backed by our experienced medical directors, health information specialists, and certified coders.

Industry-Sourced Content

  • Reimbursement

  • Medical Policy

  • Knowledge Packs

  • Content Library

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Primary Editing

Customized Content

  • Medical Policy

  • Policy Management Module

Clear Claim Connection

Web-based provider access to:

  • Claims Audit Rules

  • Payment Policy

  • Clinical Rationale

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With secondary editing, you can deploy advanced content—with no licensing fee—that will deliver incremental savings opportunities and drive consistency beyond your existing primary editing configuration. Using robust claims history, this customizable editing goes beyond traditional rule sources to leverage advanced concepts, your own plan policy, and market trends with an expanded review of additional medical claims, including inpatient claims.

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Secondary Editing: The Value For You

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Real Time

Because we offer real time editing, there’s immediate claim feedback–no more batch processing delays or need to hold claims.

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Accurate

Through accurate identification of savings and our transparent invoicing process, you and your members can be assured that you only pay for true realized costs.

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Scalable

We’re your ally in maximizing claims accuracy and savings. Our secondary editing solution can meet your evolving needs.

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Recognizable

If you’re already a customer, you’re familiar with our architecture and exceptional customer support. And if you aren’t, our customer support team will be with you throughout the implementation process and always there for questions or guidance.

We’ll identify new savings opportunities by:

  • Evaluating your savings opportunities against our existing concept library

  • Analyzing your claims data to identify key new savings opportunities

  • Re-evaluating your savings opportunities as new content is added

We’re proud to generate $12 to $14 billion in annual savings across our customer base.

We are building and evolving our technology to be fair, transparent, and respectful of privacy and safety.

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Through scalable technology, deep expertise, and strategic partnerships, we’re simplifying the business of care.

The time has never been better to choose Lyric as your payment accuracy ally. We’re building on our heritage and ClaimsXten (CXT) platform as the leader in primary editing to become your one-stop payment accuracy platform, using the power of emerging technology and partnerships to create efficient, cost saving solutions.

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.

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Ready to maximize your savings?

Complete our contact form and we’ll reach out to you! Or please email: sales@lyric.ai.

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