Solutions Overview

CUBE™

CUBE™ is CostFirst’s proprietary platform that centralizes client workflows and lien management. It helps turn medical cost containment into a data-driven process, giving organizations better visibility, smarter decision-making, and access to specialized programs across every stage of cost containment.

CompleteReview™

Comprehensive medical bill review performed by certified coding experts and experienced bill review specialists, supported by proprietary methodology and technology-driven analysis.

OptiMix™

OptiMix™ is an aggressive lien defense solution that aligns with proprietary state-of-the-art technology to address complex lien negotiation and litigation needs.

By utilizing our proprietary CUBETM software system, we can track and manage liens and defend our investigative claim and bill reviews in court.

CompleteExpert™

Expert witness services providing authoritative medical billing analysis and testimony to support litigation and dispute resolution.

CompleteGEN™

A specialized medical bill review solution developed for general liability claims, addressing complex medical billing scenarios and high cost medical bills often seen outside traditional workers’ compensation frameworks.

Walk-Through Service

Clients looking for an efficient and cost effective solution to resolve in pro per claims will benefit from our Walk-Through Service.

CompleteAdvantage™

CompleteAdvantage™ helps employers, insurers, and TPAs control catastrophic medical costs by analyzing excessive medical billing and negotiating reasonable reimbursement amounts for large-loss claims.

Medical Bill Review

Expert bill review services applying medical coding expertise, fee schedule analysis, PPO integration, and strategic cost reduction methodologies.

SHIELD™

SHIELD is a revolutionary provider vetting program seeking to protect and save significant medical claims costs. Supported by proprietary HEAT™ software, it flags non-qualified providers proactively when integrated into your existing bill review, MPN, RFA and/or lien program platforms.

HEAT™

HEAT™ is CostFirst’s proprietary provider vetting system that helps identify risk within medical billing activity and provider networks. It analyzes provider relationships, ownership ties, billing behavior, and regulatory actions to flag high-risk providers or affiliated entities. This gives CostFirst stronger claim oversight, better risk awareness, and more informed cost containment decisions.