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Independent advocates for healthcare claims integrity.

Plan sponsors spend millions, even billions, on healthcare claims each year. SmartLight Analytics protects that spend—monitoring claims continuously, applying advanced analytics and expert review, and advocating relentlessly on your behalf

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How we work

We catch
what others miss.

SmartLight continuously monitors medical, pharmacy, and dental claims data to identify anomalies, validate findings, and remove wasteful spending before it becomes systemic. Proprietary AI models and advanced analytics surface high-quality findings in minutes, which are then validated through rigorous clinical and investigative review. 

Monitor

Analyze 100% of claims at scale.

Validate

Advanced analytics plus expert intelligence.

Recover

Work directly with carriers on your behalf.

Proof of impact

Better plan health starts here.

As your full-service claims integrity advocate and fiduciary, SmartLight helps identify and remove the drivers of waste, through services such as ongoing monitoring, contract evaluation, and preventative oversight.

Potential savings of up to 5% of annual healthcare spend, helping organizations recover dollars, prevent future waste, improve plan performance, and strengthen long-term plan health.

Annual spend $250M Potential recovery $12.5M
Annual spend $500M Potential recovery $25M
Annual spend $1B Potential recovery $50M
Annual spend $2B Potential recovery $100M
Why SmartLight

Built differently, on purpose.

Independent

No direct or indirect compensation from medical carriers or PBMs.

Continuous

Monitoring year-round, not periodic audits.

Intelligent

Advanced analytics review of claims to identify anomalies.

Relentless

Clinical and investigative experts pursue every validated finding.

Testimonials

Outcomes our clients talk about.

SmartLight provides more than just identifying FWA in my claims. They reviewed my SPD and contracts to improve my fiduciary responsibilities. And since they have all of my claims, they are now my database provider supporting me with superior analytics.

Joe Toniolo Sr. Director, Health & Welfare Plans, US Foods

A once-a-year audit only scratches the surface. But when SmartLight brings findings to our TPA from their continuous monitoring, the vast majority result in savings to Teachers Health Trust.

Andrew Helms Chief Financial Officer, Teachers Health Trust

They have an extremely innovative solution ... We have the highest ROI for SmartLight than for any of our vendors.

Mike Adams Head of Benefits, 7-Eleven

SmartLight Analytics is the most transparent, knowledgeable vendor I have ever worked with. Their knowledge of the claims landscape is unmatched—no one else even comes close. They are a vital partner in our efforts to recover inappropriate payments.

Director of Health Benefits Large National Transportation Provider