Lyric Acquires ClaimShark to Expand Platform Value and Power Next-Gen AI Applications

Procurement Includes Leading Settlement Stability Solutions to Verse 42 System, Driving Intelligent Worth Development and Openness at Range

Lyric, a leader in medical care settlement precision and honesty options, today introduced its purchase of ClaimShark, an ingenious settlement honesty modern technology system concentrated on improving combination, openness, and accuracy for health insurance. ClaimShark’s options will certainly be incorporated right into the Verse 42 System, Verse’s AI-driven offering that gives health insurance with detailed settlement precision options. The purchase notes considerable development in the direction of Verse’s objective to streamline business of treatment– supplying smarter, quicker, and extra precise deals throughout the medical care community.

Enhancing and Streamlining Medical Care Purchases to Remove Waste

Deal errors set you back the United States medical care system over half a trillion bucks each year, substantially affecting health insurance, their network companies, and the participants they offer. To attend to these ineffectiveness, ClaimShark uses ingenious devices and methods to streamline and enhance settlement honesty procedures prior to and after repayments are made, making it possible for health insurance to make the most of worth and enhance partnerships with their network companies and participants.

Trick options consist of:

• Superstar: Superstar is a separated settlement honesty command facility supplying source preparation, automated operations, and controls for settlement honesty procedures. Superstar systematizes administration and orchestration of cases, information, suppliers, policies, and process. Superstar likewise makes it possible for making use of innovative generative AI & representatives to attend to problems affecting clinical patterns, supplying automated options while making certain human oversight in professional decision-making.
• Replay: Replay encourages health insurance audit groups to quickly evaluate cases, surface area errors, and take restorative activity. Purpose-built for settlement honesty procedures, Replay brings automation, framework, and knowledge to formerly hands-on process, substantially boosting rate, accuracy, and ROI for clients.

Powerful Combined System

Integrating ClaimShark with Lyric42 causes a system with distinct, AI-driven abilities, consisting of:

• A plug-and-play AI/Cloud structure, offered currently, that attaches payers to a deep collection of pre-pay modifying, information analytics, and overpayment discovery devices– some industrialized in-house, others by relied on companions
• Workshop 42, a vibrant brand-new user interface directed by the idea that “AI is the brand-new UI,” releasing in the coming months, it will certainly supply real-time pattern understandings, automated web content production, and instinctive, agentic process for optimum customer effect

Management Point Of Views

” This purchase is a transformational action for Verse and stands for development towards our lasting objective of scaling business in locations where we have distinct competence, information, and understandings,” claimed Rajeev Ronanki, Chief Executive Officer at Verse. “ClaimShark’s Superstar and Replay abilities are an excellent suit for Verse’s system and straighten highly with our function of lowering intricacy throughout the medical care continuum by producing a less complex, extra reliable system focused around clients.”

Ravi Umarji, Verse’s Principal Financial and Approach Policeman, included, “Verse’s purchase of ClaimShark increases our development past pre-pay modifying and stands for vital development in the direction of our objective to drive openness and effectiveness in the medical care system. Our company believe this purchase placements us well for future natural and not natural development chances, and we eagerly anticipate leveraging our mixed competence and partnerships to supply ingenious options at range.”

Suresh Kothapalli, ClaimShark Chief Executive Officer and Founder, shared, “By signing up with Verse, we’re magnifying the worth we can provide throughout the board– from health insurance to companies to participants. With each other, we’re developing a much more smart and incorporated medical care repayments system that increases precision and minimizes intricacy.”

Ram Davaloor, ClaimShark Founder and Verse’s brand-new GM & Head of state, Operating systems, wrapped up, “Signing up with Verse enables us to take on a few of medical care’s most significant difficulties head-on. With each other, we’re establishing a real-time knowledge system that encourages health insurance to forecast patterns, act early, and provide higher worth with accuracy.”

Find Out More regarding the integration between ClaimSharks solutions and our Lyric42 Platform

Regarding Verse

Verse is a platform-based medical care modern technology firm, dedicated to streamlining business of treatment by stopping incorrect repayments and lowering total waste in the medical care community, making it possible for extra reliable use sources to decrease the expense of treatment that profits payers, companies, and clients. Verse, previously ClaimsXten, is a market leader with 35 years of pre-pay modifying competence, committed groups, and leading modern technology. Verse is happy to be 2025 Ideal in KLAS for Pre-payment Precision and Stability and is HI-TRUST and SOC2 licensed. Discover extra at Lyric.ai.

Verse’s settlement precision options aid to decrease incorrect cases repayments that slow down the medical care community, triggering abrasion and reducing prompt repayments to companies for treatment that has actually currently been given. By doing so, Verse can aid to decrease the expanding waste in the medical care system, making it possible for extra reliable use sources to decrease expense of treatment and advantage payers, companies, and clients.

Regarding ClaimShark

ClaimShark is a relied on name in settlement honesty options, substantiated of the competence and advancement of iSpace, ClaimShark’s moms and dad firm. Acknowledging the expanding requirement for a specialized system to attend to the distinct difficulties in settlement honesty caused the production of ClaimShark’s options– sophisticated settlement honesty and audit devices made to aid health insurance optimize their settlement precision worth, enhance supplier choice, and automate backend settlement honesty procedures, paying honesty procedures extra reliable and scalable.

Initially introduced April 22nd, 2025