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TECHNOLOGY

The leading software solution

Sagebrush leads the healthcare industry with advanced, evolving technology that detects and recovers more of your healthcare costs and overpayment dollars. We turn complex data navigation into simple solutions.

We run our patent-pending SageSuite™ software on fast, flexible hardware to provide you with the most accurate and productive cost recovery solution.

There is no need to convert your data to a specific format. Our professionals input raw transaction files from your systems into our system.

Unlimited transaction types

The transaction types we analyze are unlimited, but typically include health claims, eligibility records, health provider files, contractual pricing files, benefit plan descriptions, and check registers.

Tailored to your needs

SageSuite users fit into one of three groups: clients, consulting, and technical staff.

  • Clients — Sagebrush clients or their vendors and customers, using final output information to make business decisions.
  • Consultants — Sagebrush business consultants and internal or external client consultants who analyze data and provide information to clients.
  • Technical staff — Sagebrush’s highly-trained programming staff who prepare data for analysis and reporting by and for other users.

We minimize disruption to your business because your audit is run on our software and hardware, which Sagebrush professionals access remotely when working at your office.

Fast and flexible

We handle the largest to the smallest engagements. Our hardware has the speed, flexibility, and power to exceed that of our competitors and many of our insurance company clients.

SageSuite component modules

SageSuite is a group of five proprietary software modules. Each module supports a different facet of the electronic audit, analysis of health transaction data, and overpayment recovery.

The modules can be used alone or in combination.

Module Name User(s) Functionality
Converter™ Technical
  • Maps raw client transaction data to standard Analytic Database(s).
  • Reconstructs financial transaction from billed charges to paid, at the line level detail for claims.
  • Builds and links transaction history for each transaction at the line level, including adjustments, changes, and deletions.
  • Links all health claims related to an inpatient confinement.
  • Builds ambulatory care groupings.
  • Links other meaningful reporting groups, such as related members or providers.
  • Creates a Master Universe of potential overpayments.
Explorer™ Technical/Consulting
  • Tool for ad hoc reporting from the converter-generated Analytic Database(s).
  • Reports and categorizes the duplicates, third-party liability, and other overpayments.
Validator™ Consultant/Client
  • Workflow tracking of confirmation and recovery of overpayment reports produced by Explorer.
  • Workflow tracking of confirmation/study of transaction records reported by Explorer, Reporter, or Sampler.
Reporter™ Consultant/Client
  • Produces standard reports, designed for reporting at regular intervals.
  • Requires little training or technical sophistication to use.
  • Reports include: management information, actuarial and financial forecasting, clinical and operational reports.
  • Client can customize.
Sampler™ Consultant
  • Selects discovery and statistically valid samples from Analytic Database or Master Duplicate Universe or other tables for testing.