Integrity
We operate with uncompromising ethical standards, ensuring every audit reflects fairness and accountability.
Precision
We approach every claim with analytical rigor, transforming complex financial data into verifiable outcomes.
Vigilance
We maintain oversight through active monitoring and data-driven review, ensuring every claim is resolved.
ABOUT US
Expertise in Every Stage
Our multidisciplinary approach ensures that claims are not only identified and verified but resolved in accordance with the highest standards of financial and regulatory integrity.
We detect potential entitlements through comprehensive audits, data reconciliation, and industry-specific analysis to uncover unremitted or misallocated funds.
Our team validates claim legitimacy using source documentation, financial records, and statutory compliance review to confirm rightful ownership and eligibility.
We align reported and actual financial data, correcting discrepancies between institutions, policy issuers, and beneficiaries to ensure accuracy.
Confirmed entitlements are distributed in accordance with governing law and fiduciary procedure, ensuring equitable and compliant remittance.
Through continuous monitoring and post-resolution audits, we maintain vigilance over emerging discrepancies to ensure future recoveries are not overlooked.
$32m
Identified Claims: Cumulative claim value of audited reporters and accounts for providers and patients.
97%
Claim Approval Rate: Rate of succesful claim approvals from custodians.
12k
Claims Reviewed Annually: Individual claims and accounts reviewed for action annually by CarePoint CS.
Melissa R
Los Angeles
"CarePoint Claim Solutions handled everything with precision and kept me informed at every step. I never realized how much I was owed until they found it."
Anita G
San Diego
"Their attention to detail gave me confidence that my claim was handled the right way, not just the fast way."
Samuel T
Alameda
"CarePoint Claim Solution's audit uncovered years of underpaid reimbursements we would’ve never caught on our own."
Karen M
Sacramento
"They approached our reconciliation like a financial investigation. Methodical, compliant, and outcome-driven."
David L
Orange
"Professional, transparent, and efficient. What could have been a years-long process was resolved in a matter of months."
Alicia B
Riverside
"Working with CarePoint Claim Solutions restored both our confidence and our balance sheets."
CarePoint Claim Solutions manages both patient and provider claims involving underpaid reimbursements, misallocated funds, dormant policy payments, and unremitted healthcare entitlements. Our audits cover private insurers, institutional payors, and policy-based recoveries governed by compliance standards.
While both follow the same foundational audit and verification model, patient claims focus on individual entitlements and overpayments, whereas provider claims emphasize reimbursement integrity, remittance reconciliation, and bulk claim resolution.
Compliance is central to every recovery. We adhere to federal and state healthcare regulations, privacy protections, and fiduciary protocols to ensure all actions withstand administrative and legal scrutiny.
Timelines vary by claim type and complexity, but most verified recoveries are completed within 180 days after documentation is received. Provider reconciliations involving multiple payors or fiscal years may extend beyond that window due to regulatory verification requirements.
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We're Here to Help
Whether you’re a patient seeking clarity or a provider reconciling accounts, our team is prepared to guide you through every stage of the recovery process
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