Accuracy changes everything.

IDENTIFY

RESOLVE

PREVENT

Overpayments

Identify, resolve, and prevent unnecessary spend.

✓ Data Mining & Recovery
✓ COB Identification & Recovery
✓ ESRD Audit
✓ Clinical & Coding Validation
✓ AI Labs / Payer Intelligence

Credit Balance

The intersection of payment accuracy.

✓ Credit Balance Audit + TRENDSubmit
✓ Credit Balance Management & Prevention

Underpayments

Identify, resolve, and prevent revenue leakage.

✓ Denial Management
✓ Zero-Balance Accounts Analysis
✓ AR Rundowns

True Payment Integrity – Less Infighting and More Insight

The Collaborative Approach

Tension, fighting, and finger-pointing between payers and providers has become the norm, but it doesn’t have to be this way. By collaborating to make reimbursement more accurate, we can avoid conflict and focus on what really matters – healing.

Payment INTEGRITY

Ensure payments are right the first time & delivered with precision, transparency, and care.

TREND delivers intelligent, AI-powered [payment integrity services](/content/ "Link takes you to the home page learn more about payment integrity services offered by trend"/index.html) that improve payment accuracy, ensure contract compliance, and strengthen payer-provider partnerships – driving better outcomes with less friction.

More Recoveries, Faster to Results

+16% recoveries in one month
+65% recoveries in 2nd pass, +27% in 3rd pass in six months
98% human accuracy rate, 96% AI accuracy in automations

Payment Integrity

Get payments right the first time with AI-enabled data mining, claims intelligence, and contract compliance.

✓ Identify non-clinical overpayments
✓ Improve root-cause detection
✓ Reduce waste and leakage

Coordination of Benefits (COB)

Simplify COB workflows across pre-pay and post-pay.

✓ Capture other coverage details early
✓ Prevent duplicate payments
✓ Streamline recovery across payers

Clinical Services

Deliver precision with clinician-led reviews.

✓ DRG validation
✓ Itemized bill review
✓ Medical necessity determination
✓ Reduce provider abrasion with smart claim selection

Contract Compliance

Ensure every payment aligns with negotiated terms.

✓ Detect and correct overpayments due to contract misalignment
✓ Protect payer margins and provider trust

Technology That Drives Transparency

Unlike “black box” competitors, Trend’s transparent glass box platform unlocks actionable insights:

✓ Analyze structured + unstructured data (policies, contracts)
✓ Provide clear, root-cause reporting
✓ Support continuous process improvement

Avoid Conflict & Reduce Waste by Improving Payment Integrity

When the correct payment is made on the front-end, healthcare payers and providers reduce the resources spent on back-end conflict. In other words, everyone wins when we work together.

Providers Receive Accurate & Timely Reimbursements

By aligning processes, providers reduce errors and receive more accurate and timely reimbursements.

Payers Reduce Overpayments

Through open communication and data sharing, claims are processed faster and more accurately, reducing overpayments.

Everyone Saves Time & Money

By collaborating, payers and providers both save money by reducing the number of claim denials and minimizing the need for costly rework or appeals.

The Problem

Improper Payments Are at the Center of Waste & Rising Costs

Disputes over payments make healthcare less efficient, and the way the industry approaches improper payments today is making the problem worse.

Improper payments increase the cost of healthcare..

Underpayments lead to financial shortfalls for providers, overpayments create credits and lead to financial losses for payers, all resulting in increased operational and administrative costs.

Everybody loses when payments are incorrect.

Be it underpayments or denials, providers lose revenue when claims are not paid or if the appeals process is unsuccessful. And overpayments require payers to recoup overpaid funds, adding to operational cost and complexity.

Improper payments damage payer/provider relationships.

Constant disputes over payments deteriorates trust and weakens relationships between healthcare payers and providers, worsening outcomes for all parties.

Less transparency means more payment errors.

Limited visibility into payer payment methodologies or denial reasons makes it difficult for providers to predict and prevent billing errors. And poor communication with providers regarding claim errors or payment rules creates inefficiencies in addressing and correcting payment issues on the payer side.

Without good data, you can’t make good decisions.

Inaccurate or incomplete coding, documentation, or claim submissions cause discrepancies that result in payment errors for providers and additional review from payers – increasing processing time and causing delays in adjudication and payment.

Incorrect payments put regulatory and contract compliance at risk.

Payers must ensure that payments adhere to regulatory guidelines while providers must comply with payer rules and regulations. Inaccurate payments, whether overpayments or underpayments, can expose both payers and providers to legal scrutiny, fines, and regulatory penalties, as well as damage their reputation and compliance track record.

$170B in claims are paid in error every year…

According to CMS, more than $170 billion in claims are paid in error every year due to the complexity of our healthcare delivery systems. This is equivalent to more than 7% leakage coming from the commercial market and 10% from the governmental market.

TREND deploys an advanced technology platform and proven claims data modeling techniques to drive the identification, validation and resolution of payment errors at scale.

Best in KLAS for Post-Payment Accuracy & Integrity (Payer)

Recognized by payers for precision, fairness, and disciplined execution.

Post-payment review has often been defined by disruption, abrasion, and misalignment. In 2026, Trend was ranked #1 for Post-Payment Accuracy & Integrity Solutions in the Best in KLAS report, based entirely on direct payer feedback collected by KLAS Research.

This recognition reflects a model grounded in evidence, not escalation. One that applies payment integrity principles with rigor and transparency, ensuring findings are defensible, consistent, and respectful of provider relationships.

Powering Payment Integrity with Intelligent Collaboration

Trend’s [payment integrity](/content/ "Link to homepage for more general info on Payment Integrity"/index.html) solution leverages AI technology and data analytics to efficiently identify, recover, and prevent overpayments while also offering expert analysis to identify potential overpayments, root causes, and mitigation opportunities.

Move Beyond Data Mining with Collaborative Claims Intelligence

Monthly Status Report

Details your claim inventory status, providing a claim roll-up of the activity taken on the claims, where they currently reside in the process, and final claim resolution.

On-Trend Report

Case-by-case review to determine appeal opportunities. Aggregates and outlines the story of your denials plus our recommendations for addressing root causes.

Executive Summary

Overviews metrics for designated period and may show trends not easily seen within the project. Helps escalate any issues or opportunities for both Trend and client.

Infographic Reporting

Illustratively depicts claims appealed and recovery results. Specific graphs can include appealed amounts by payer and/or denial type plus closures by reasons and/or payers.

The TREND Difference

The Old Way is Failing. It’s Time for a New Trend.

We take a different approach to payment integrity – blending innovative tech, expertise, and customer centric philosophy.