Confidence in the care you pay for.

Brellium reviews the documentation behind the claims you choose to review, aligned to your coverage policies, so your team spends its time where it matters most.

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Claim flagged for a closer lookClaim cleared: documentation matchesNetwork pattern: provider education recommended

22M+Annual charts audited

575M+Documentation checks performed

50States covered

Focus post-payment review where it matters.

Point Brellium at the services, providers, or patterns you want to understand, and it surfaces the paid claims the documentation doesn’t support — so audits go where they reduce fraud, waste, and abuse, and providers see exactly how to document it going forward.

✓Risk-based review, scoped to the programs you choose
✓Findings cited to the chart evidence
✓Education that helps providers document correctly next time

Claim substantiated

Progress note supports the service, units, and date of service paid.

Pre-payment review for the services that need it.

Apply documentation review to high-risk services or providers before payment, confirming the service billed is documented and aligned with the claim. Claims that check out move forward, and your team spends time only on the few that need a closer look.

✓Each note matched to the codes, units, and dates billed
✓Clear, specific documentation requests back to providers
✓One consistent standard, applied the same way each time

Documentation aligned

Services, units, and dates on the claim match the session note.

See documentation quality across your whole network.

Brellium matches each claim to the documentation behind it and surfaces patterns across your network — services billed without a supporting note, providers whose documentation consistently falls short — so you can focus oversight and education where they’ll reduce fraud, waste, and abuse the most.

✓Documentation quality tracked by provider and practice
✓Services billed without supporting documentation surfaced
✓Targeted audits and education instead of blanket requests

Billed, not documented

4 claims billed for 97153 this month with no matching session note. Recommended for focused review.

Authorization decisions, backed by the chart.

Brellium screens treatment plans and progress notes against your coverage policy and summarizes whether the documentation supports the requested service, hours, and level of care. Your team starts each case with the evidence in front of them, and makes every decision.

✓Requested hours and level of care checked against the record
✓Documentation gaps surfaced before your team opens the case
✓Your team makes every decision

Hours supported

Treatment plan and recent progress notes support the 30 weekly ABA hours requested.

Brellium does the reading. Your team makes the calls.

Aligned to your coverage policiesBrellium applies your published coverage and clinical policies, state requirements, and plan rules consistently, wherever you point it.

Your team decidesBrellium prepares the evidence. Every decision stays with your team.

Clear for providersEvery finding cites the chart, so providers see exactly what’s needed and most issues are resolved with education, not escalation.

See Brellium on your own charts.

Share a sample of requests or claims. We’ll show you what a review against your coverage policies looks like.

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