Vital insights. 
Healthy business.

Kirontech is a specialist claims and payment risk intelligence partner. We help health insurers and medical payers find the value hiding inside their claims and payment risk, and support them every step of the way to act on it.
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The opportunity inside your claims operation is bigger than you think.

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Kirontech closes the gap between risk and opportunity. Across five dimensions of medical claims and payer risk, we unlock the opportunities and the value most businesses never see.

Benefits

01.
Recover significant financial value across your claims operation
02.
Strengthen your operational controls and close critical process gaps
03.
Protect your patients from unnecessary procedures and clinical risk.
04.
Safeguard your brand with stronger governance and operational controls
05.
Maintain complete data integrity across your entire claims operation
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Our clients typically see an ROI of 5-15x

Trusted by leading medical insurers and health payers
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Five dimensions of claims risk. All of them full of opportunity.

The value inside a claims and payment operation runs deep. We look across five interconnected dimensions to find exactly where it sits, and what it’s worth to your business.
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Financial

Recover claims and payment leakage, improve your loss ratio and strengthen your financial controls.
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Patient

Identify unnecessary procedures, protect patient outcomes and reduce clinical risk.
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Brand

Protect your reputation, build trust with your customers and establish the credibility your business deserves.
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Control

Strengthen governance, close process gaps and build a more resilient operation.
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Data

Clean, accurate and AI-ready data that gives your business a stronger foundation to grow from.

See exactly where your opportunity sits

The Heat Map is where every Kirontech engagement begins. A proprietary diagnostic assessment that maps your entire claims operation across all five dimensions of risk, giving you a complete, visual picture of exactly where the value sits, what it’s potentially worth and where to focus to unlock the greatest opportunity.

The technology behind the insight

Our specialists are at the heart of every engagement. But the technology behind them is what makes the difference at scale. Our AI-enabled platform connects seamlessly to your existing systems and agents, drawing on a data stack of over 80 million reviewed datasets to surface opportunity across your entire claims and payment operation. The result is intelligence that is deeper, faster and more precise than anything a conventional claims business can deliver, and experts who know exactly what to do with it.

Expertise and insight

Expert medical claims risk insight and case studies.
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Thought Leadership
2 June
Processing Claims does not FWA Management make.
Dr Simon Peck At a recent meeting, one of our clients said that many people do not understand the difference...
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Case Studies
2 June
USD 500k annual excess billing controlled at a leading dermatology clinic after 16 Mohs surgeries on one patient in 18 months
Case 3  ·  Provider Level  ·  Asia-Pacific WHERE WE STARTED A blue-chip dermatology clinic in the Asia-Pacific region was billing...
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Thought Leadership
2 June
Horses for Courses – Different Objectives of Clinical Coding
Dr Simon Peck In his book “Profiles of the Future: An Inquiry into the Limits of the Possible”, Arthur C....
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Case Studies
1 June
Eight per cent of a £24m claims spend identified as potential FWA — and the biggest risk wasn't fraud. It was chronic over-treatment hiding in mental health.
Case 7  ·  Employer Level  ·  United Kingdom WHERE WE STARTED A large UK employer — a household name —...
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Case Studies
1 June
23,635 spinal patients analysed: impossible procedure combinations and unsafe device use identified — public inquiry upheld findings
Case 6  ·  Country Level  ·  Australia WHERE WE STARTED Referred via a client partner, Kirontech was engaged to assist...
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Case Studies
1 June
Organised Crime Group identified and referred to police: £500k–£1m in dental fraud stopped before further losses
Case 5  ·  Collusion Level  ·  UK + International WHERE WE STARTED A large UK dental insurer was processing claims...
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Case Studies
1 June
EUR 2.5m+ saved annually as unnecessary knee and hip procedures challenged across an entire insurer portfolio
Case 4  ·  Policy Level  ·  Southern Europe WHERE WE STARTED A Southern European health insurer was processing high volumes...
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Case Studies
1 June
Intraoperative injury identified and actioned: third-party recovery pursued following complex pelvic surgery
Case 2  ·  Patient Level  ·  United Kingdom WHERE WE STARTED A UK private health insurer was processing claims for...
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Case Studies
1 June
Fraud stopped before payment: USD 750k+ saved on fake cardiac ablation claims
Case 1  ·  Claim Level  ·  Latin America WHERE WE STARTED One of Latin America’s largest national health insurers was...
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Thought Leadership
29 May
The Power of Soft Power: Stopping Waste and Abuse
Dr Simon Peck In https://www.linkedin.com/pulse/misconduct-health-insurance-fraud-does-matter-kirontech-uk-ltd/ we discussed the differences between various kinds of FWA (Fraud Waste and Abuse) in Health...
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Thought Leadership
29 May
The human element: managing FWA post-identification
In our previous bulletins, we discussed in some detail the identification of Fraud, Waste and Abuse (FWA) in health insurance...
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Thought Leadership
29 May
Blood Money – FWA in Pathology
Dr Simon Peck In his classic book “License to Steal – how Fraud Bleeds America’s Health Care System” Malcolm Sparrow...