Recover the billing errors hiding in your employee population's claims.
MedGuard ingests claim feeds from your carriers and enrollment systems, audits every line against federal Hospital Price Transparency data, and returns recovered dollars to your plan. You pay only on what we recover.
Reference program outcomes
A savings P&L the CFO can read in one sitting.
Every figure ties back to claim-line evidence in the Employer Portal. Net Savings After Fees, Program ROI, and Est. Annual Opportunity sit on the front page so finance can model recovery the way they model any other spend line.
- 8.4×
- Program ROI
- 75¢
- Of every recovered dollar retained by your plan
- 47K+
- Claims continuously monitored
- $4.2M
- Est. Annual Opportunity at current run rate
Illustrative figures from the MedGuard performance model. Actual results vary by population, carrier mix, and claim volume.
What you get
Five surfaces a benefits team and CFO can read in one sitting.
Built for the plan design committee, the broker, and the office of the CFO — not for individual covered employees.
Savings P&L, not a dashboard
Total Savings Recovered, Net Savings After Fees, and Program ROI sit on the front page. Est. Annual Opportunity is projected from your current run rate so finance can model it like any other line item.
See the reference outcomesProvider scorecard
Every facility and physician group ranked by error rate and overcharges, with the dispute history that supports each number. Drives network steerage decisions and direct conversations with high-error providers.
See a real scorecard in the demoCarrier and TPA scorecard
Denial rates, overturn rates, and recovery yield broken out per carrier. Surfaces which payers are defensible cost-containment partners and which ones need plan-design pressure.
See a real scorecard in the demoFull claim-feed coverage
We connect once to your carriers and enrollment systems and audit continuously. No exports, no quarterly samples, no asking your covered employees to forward statements.
Read the three-step setupPerformance-fee model
MedGuard takes ~25% of recovered savings; the remaining 75% stays with your plan. We charge against recovered dollars, not a flat retainer.
Get your annual opportunityHow it works
Three steps from feed to recovered dollars.
Set-up takes weeks, not a renewal cycle.
- Step 1
Connect your data
We onboard claim feeds from your carriers and TPAs and pull eligibility from your enrollment system. One integration covers the whole employee population — no per-member action required.
- Step 2
Continuous audit
Every claim is checked against Hospital Price Transparency files, payer transparency files, NCCI edits, and CMS coding rules. Errors and recovery candidates surface as cases the moment they appear in the feed.
- Step 3
Recovered savings returned to your plan
MedGuard runs the disputes end-to-end and returns recovered dollars on a quarterly cadence. You see the running ledger; we handle the work.
Coverage
Built for self-insured plans and the brokers who advise them.
MedGuard fits alongside your existing cost-containment strategies — direct contracting, reference-based pricing, narrow networks, on-site clinics. We sit on the recovery side of the ledger, not the steerage side.
For self-insured employers
Connect your carrier and TPA feeds and start recovering immediately. The benefits team owns the relationship; finance owns the ROI.
Try the audit on a real billFor brokers and consultants
Bring MedGuard into your stewardship reviews as a no-risk savings line. The performance-fee model means there is nothing to forecast and nothing to defend at renewal.
See what your books would surfaceFor plan design committees
Provider and carrier scorecards convert dispute history into network-steerage and plan-design inputs. The same data that recovers dollars informs next year's design.
Read the reference outcomesGet a number
See your Est. Annual Opportunity.
Send us a representative sample of last year's claim feed and we will model the recoverable spend across your employee population. The audit is free; you only pay if we go on to recover.