Payment integrity for supplemental health, checked before payment.
For carriers and TPAs. Prepayment review checks claims against the member’s plan before they are paid. Your team decides anything we flag.
Prepayment review, by line
- Hospital IndemnityStays, admissions and services, paid the way the plan says.Example: two claims for one hospital stay.Hospital Indemnity
- AccidentInjuries and treatment, paid at the plan’s scheduled amounts.Example: a fracture paid at the wrong amount.Accident
- Critical IllnessLarge one-time payments, checked before they leave.Example: a spouse benefit paid at the wrong rate.Critical Illness
Another fixed-benefit line?Trestl reviews these three lines today; others are on request. Tell us what you pay and how, and we’ll say plainly whether it fits.
Talk to usThe same promise on every line.
Whatever the benefit, the way Trestl works with your team doesn’t change.
Checked against the member’s own plan
Not an average or a rule of thumb: the plan the member bought.
Your examiners decide
Every flag comes with the reason. Nothing is denied automatically.
Nothing new to install
Claims come to us the way they already leave your system, and results go back the same way.
Whether you carry the risk or run the claims.
- Insurance carriers
- Check claims on your voluntary book before payment, keep benefit ledgers accurate in both directions, and give plan sponsors evidence of prudent oversight.
- Third-party administrators
- Add prepayment review inside your principal’s authority: connect your existing feeds, work findings in your queue or ours, and return decisions to adjudication.
- MGAs and program administrators
- Program-level visibility into payment accuracy across carriers and products, with each client’s data isolated.
- Partners
- Benefits platforms, brokers, and consultants who want to bring prepayment integrity to the carriers they serve. Every introduction starts with the carrier’s consent.
Start with a conversation about your lines.
A first call about your lines and how claims move today. No claim files or health information needed.