Crown Advisory is a team of healthcare economists, insurance specialists and benefits consultants, statisticians and data scientists, and medical coders. We read the payer rate files, claims and coding behind healthcare spending, and explain what they mean for the people who pay and get paid.
Talk to us Find your solutionPick the page that fits you. Every engagement starts with a short conversation.
See what every payer pays for your codes, then audit your billing, coding and underpayments.
Learn more →White-label rate benchmarks you can offer every practice you bill for.
Learn more →Outsourced claim review, FWA investigations, market rate benchmarks and client reporting.
Learn more →An independent read on how your copay card dollars are being used.
Learn more →Expert witness, statistical sampling and damages analysis on healthcare pricing and claims.
Learn more →Since 2022, health plans have had to publish every rate they negotiate. Combined with claims and coding, that data answers questions most organizations can't get answered.
We parse payers' machine-readable rate files, billions of rows, into benchmarks you can use.
Line-level review of what was billed, coded and paid, including fraud, waste and abuse patterns.
We aren't owned by a payer, TPA or vendor, so our findings are ours to report straight.
Healthcare pricing runs billions of rows deep. Periscope is the analytics platform behind every Crown report. It brings the rates, claims and codes that matter up to eye level, so you can review, compare and act without getting underwater.
Payer rate files filtered to the codes, markets and providers you care about.
What you paid or were paid, set against what the market pays.
Findings reviewed by our team and written in plain English.
A rate negotiation, a renewal, a claims concern or a program review.
Published payer rates, your claims, or both.
Statistical methods, coding rules and market context.
Plain-English findings and what to do next.
Crown brings together healthcare economists, insurance specialists and benefits consultants, and PhD statisticians and data scientists, working alongside experienced medical coders. The people who build the data pipeline also review the results, so every finding is checked by someone who understands both the numbers and the claim.
Experts in how payers price care and where the money leaks.
Plan design, payer contracts, benefits strategy and actuarial context.
PhD-level methods and pipelines that turn billions of published rates into answers.
Experienced coders reviewing CPT, HCPCS and ICD-10 against coding rules.
Tell us who you are and what you're trying to figure out. We'll point you to the right next step.
Or email: info@crownadvisory.com