Solution for In-House Recovery Counsel
Transform fragmented payer disputes into a structured recovery operation. Factum provides in-house legal teams with the intelligence and workflow infrastructure needed to monitor claims disputes, coordinate appeals, and pursue litigation with full operational visibility.
Eliminate Vendor Noise in Claims Dispute Management
Fragmented workflows between vendors, billing teams, and external law firms create operational blind spots – making it impossible for in-house counsel to maintain absolute oversight of claims recovery. Factum centralizes dispute management – providing the visibility and control needed to oversee payer conflicts and reimbursement litigation from a single command center.
Unified Dispute Visibility
Eliminate the "Black Hole" of external recovery. Track disputes, administrative appeals, and active litigation across your entire organization. Gain real-time oversight of every contested dollar – whether managed internally or by outside firms.
Peer-to-Peer Coordination
Bridge the gap between clinical and legal. Streamline high-stakes communication between physicians and payer medical directors. Ensure every "doctor-to-doctor" call is documented, tracked, and leveraged for maximum legal impact.
Actionable Payer Intelligence
Identify systemic reimbursement threats. Analyze denial patterns and contract enforcement opportunities across your entire payer mix. Factum flags systemic underpayments – allowing you to shift from reactive billing to proactive litigation.
Your In-House Recovery Counsel,
Powered by the Factum 6-Phase Engine
Factum supports the entire lifecycle of healthcare claims disputes while providing in-house counsel with the oversight needed to guide strategic decisions.
Phase 1-2 | Intake & Dispute Resolution
Monitor claims intake, appeals activity, and peer-to-peer reviews across departments while ensuring documentation is properly collected.
Phase 3-4 | Litigation Preparation & Management
Evaluate legal merit, authorize litigation strategies, and oversee active lawsuits through centralized dashboards and case management tools.
Phase 5-6 | Billing & Case Closure
Track settlements, reconcile recovered funds, and maintain secure records for compliance and audit purposes.
Intelligence That Strengthens Your Negotiation Position
Factum Join
Seamlessly connect clinical data with payer contracts and legal documentation to identify contractual breaches and strengthen your position in disputes.
Factum AI
Advanced clinical analysis that scans medical documentation to identify evidence supporting medical necessity and contract enforcement.
Sovereign Infrastructure for In-House Recovery Operations
Provider organizations demand absolute control over sensitive clinical and financial assets. Factum provides a high-security legal-tech environment – engineered to exceed hospital compliance standards while protecting the integrity of your sovereign recovery data.
Isolated Cloud Environment
Ensure that your organization's data remains separated and protected within a dedicated environment.
On-Premises Deployment
Deploy Factum within your own infrastructure for maximum control over sensitive information.
Comprehensive Audit Trails
Maintain court-defensible records of every claim action, document update, and workflow decision.