Thinking about leaving your hosted bill-review vendor? Everything it does for you, Spend Command does inside your own tenant, with your own people, on your own data. Switching takes one export and one guideline paragraph.
Everything your firms, your adjusters and your team do today, they keep doing. Only the review moves.
Your panel firms already produce a LEDES 1998B or 2000 file for every invoice. They keep producing it. The only change is one paragraph in your guidelines: send the same file to Claims Command too. No new portal, no retraining, no timekeeper remapping.
Proof: A readiness check tells the firm what to fix before it submits, so the first file lands clean.
UTBMS task, activity and expense codes, timekeeper classifications, matter and claim IDs: the engine reads what the firm already sends. Manual entry stays available for the small firm that never set up LEDES.
Proof: Every invoice is tied to a claim before it enters review, the way you require today.
Billing frequency, rate caps, classification tiers, block-billing limits, budget-before-submission: Spend Command reads them from your carrier guidelines, program by program. If two programs bill differently, the engine runs two rule sets. Nothing is assumed.
Proof: Upload your guidelines, see every rule the engine derived, switch any one of them off.
Send us the standard export your team already pulls from your current system each month. We map the columns once, you confirm the mapping, and the Audit lane is live. No IT ticket, no API, no one from Spend Command ever logs in to the system you have today.
Proof: First coverage report within two weeks of the first file.
Your current vendor reviews bills. Spend Command reviews bills, records who decided what, and proves it to the firm, the auditor and the regulator.
The rules engine checks every line against your guidelines and suggests an amount. It never applies anything. A reviewer decides each flagged line with a reason code; a manager releases. Routing is yours: every invoice to a person, automated-only, or a threshold by amount, flag count or rule.
Proof: The Review queue shows every open flag, who holds it, and for how long.
Each decision, hold, return, release and appeal is a named person's action, time-stamped and append-only. A released outcome cannot be edited; the database refuses. The firm downloads the same outcome document you see, line by line, reason by reason.
Proof: A second reviewer samples the first reviewer's decisions every month and the agree rate is on your dashboard.
An appeal window you set, one appeal per adjustment, and a mailroom that resolves it as Upheld, Partial or Restored, with the original outcome kept as filed. Your firms see where the appeal stands without emailing anyone.
Proof: Appeal rate by firm and by rule, so you can see which rules the firms fight and which ones they accept.
Counsel, independent adjusters, experts, appraisers: the same rules, the same decision model, the same record. The claim view shows one claim's spend across every lane and where each dollar was collected from.
Proof: A handoff file for accounts payable with every approved amount. Spend Command never moves money.
Send us your vendor's monthly export. The engine re-reviews the same invoices against your guidelines and shows the difference: lines flagged by both, lines flagged only by the vendor, lines flagged only by Spend Command, in dollars. You decide what that difference is worth.
Proof: The coverage report is yours to forward, with no vendor name on it.
A hosted vendor charges you per invoice, keeps the data, and gives you a status. Here is what you get back.
Every invoice, line, decision, appeal and ledger entry is downloadable, and a push to your own BI is a setting, not a request. If you leave, you take everything. The industry norm is that your billing data is yours to export, and we hold to it.
Proof: The Carrier setup screen lists every export and its schedule.
Self-serve is a license: your staff decide every flagged line. Assisted and Full put our auditors inside your tenant, under your roster, per invoice, credited against the license. Either way the fee buys a record you keep, not a portal you rent.
Proof: A monthly service ledger shows what was reviewed, decided, proposed and released, and against which SLA.
Modules are Off, Trial or On per carrier, with a reason and a history. Start with Audit beside your current vendor for two weeks, free. Turn on Counsel for one line of business when the numbers say so. Nothing is switched off until you switch it off.
Proof: An onboarding checklist derived from your claims system is the go-live gate for each module.
Each carrier runs on its own runtime and database. Append-only decisions, a released outcome the database refuses to edit, and a QA agree rate you can hand to a market-conduct examiner.
Proof: Every outcome document carries the person, the date and the reason.
No. You send us an export your team already pulls. We never log in to their system, never write to it, never contact them.
Your staff decide every flagged line. For teams that review today and want the record.
Fee: License
Our auditors decide what the engine flagged; your manager releases. For teams of one to three.
Fee: Per routed invoice, credited against the license
Our auditors review every invoice; your manager releases. For carriers replacing a per-invoice vendor outright.
Fee: Per invoice, credited against the license
Auditors work inside your tenant, under your roster. No data leaves.
VIP Claims Command is the engine. Review Services is the people: our auditors can decide flagged lines, handle appeals and sample decisions for QA, all inside your tenant, with a named decision on every line.