Healthcare claims audit software · Est. 1992

Audit infrastructure for the largest health plans in America.

On-premises, HIPAA-aligned database applications deployed inside the environments of major U.S. health insurers. We find financial defects, stop overpayments, and bring the full audit workflow under one screen.

1992
Year founded
2.5M+
Claims audited
per year
30+ yrs
Healthcare claims
experience

Thirty years inside the audit function.

Phoenix Business Computing builds and supports the audit software that runs inside the largest health plans in the United States. Since 1992, we've focused on one thing: helping payers find claim defects, recover overpayments, and produce the audit trail their compliance and finance teams require.

Our software is deployed on-premises in HIPAA-aligned environments. Our client engagements are long — measured in decades, not contract terms. And we are small by design: the engineers who build the system are the engineers who support it.

/ 01

On-premises by design

Your data stays in your environment, behind your firewall, under your existing HIPAA controls.

/ 02

Specialized

Audit work for U.S. health plans is the only thing we do. Three decades inside payer operations — claims, benefits, member communications, and the workflows that tie them together.

/ 03

Long-tenured

Multi-decade client relationships are the norm. The team that onboarded the system is the team that's still supporting it.

Three modules. One audit platform.

A platform suite refined alongside the largest health plans in the United States. Three modules, one workflow.

Platform

SAM3

Smart Audit Master

Now in its third generation, SAM is the system of record for claims audit at multiple top-tier U.S. health plans. Deployed on-premises and refined for three decades against production claim volume at Fortune-scale insurers.

Subsystem

SER

Smart Edit Rule

A rule-based database solution designed to find healthcare claims with financial defects and stop overpayments. Refined and battle-tested for more than a decade as a SAM subsystem.

Module

Workflow

Audit orchestration

The proven, paperless way to control the audit process across users. Monitor entire audit progress from a single screen — the essential layer that ties SAM together.

Let's talk.