About Us
Founded in 2005, CostFirst has developed a revolutionary solution that aligns state-of-the art technology with years of experience in medical cost containment. Our OptiMix™ service solution helps manage lien resolution needs by integrating our expertise in lien negotiations and litigation with expert bill review (CompleteReview™), expert witness testimony (CompleteExpert™) and medical provider analysis into a proprietary software system application called CUBE™ (Company User Base Enterprise). By utilizing CUBE™, we are able to provide clients a management tool for their lien process. CUBE™ software system displays results in real time.
Our programs afford clients the flexibility in unbundled services. Clients may choose what services that best fit their needs. We provide affordable and efficient solutions that result in prompt claim closures with unparalleled savings.
CostFirst is honored to have an MBE certification through the National Minority Supplier Development Council, as well as WBE and WOSB certifications through the Women’s Business Enterprise National Council.
Our Vision
The Evolution of Healthcare Resolution
Our Mission
We employ technology advancements, industry insight and cultivated professionals to deliver progressive solutions that curtail medical claim costs for employers.
Our Values
They guide the way we work with our business partners, within our communities and with each other. Commitment to core values fosters a vibrant company culture where ideas blossom, people thrive and success flourishes. These principles are rooted in our character. This is us!
THIS IS US
Letter from the CEO
Leadership begins with humility—service rooted not in self-interest, but in a commitment to elevate others. It is a responsibility I carry with deep respect as I serve our clients, our partners, our employees, and the broader community that depends on the integrity of our healthcare system.
Since our founding in 2005, CostFirst has evolved from a focused medical bill review and lien defense firm into a fully integrated cost containment ecosystem. What began as a mission to mitigate healthcare expenses has grown into a platform-driven organization that delivers measurable financial impact while protecting the system from abuse.
At the core of this evolution is CUBE™—our Company User Base Enterprise platform—which transformed how claims, liens, and litigation are managed. CUBE™ is not simply a system of record; it is a system of intelligence. It provides real-time visibility, portfolio-level analytics, and actionable insights that empower our clients to make faster, more informed decisions. Through automation, transparency, and integration, we have helped accelerate claim resolution timelines and significantly reduce both indemnity and expense leakage across ULAE, ALAE, and medical spending.
But our evolution did not stop at efficiency—it expanded into protection.
As healthcare fraud and abuse continued to escalate, we recognized that cost containment without prevention was incomplete. This led to the advancement of HEAT™—our Healthcare Enforcement Action Team, a provider intelligence and detection framework designed to identify risk before it impacts the claim. Through strategic collaboration with insurers, employers, SIU teams, and law enforcement, we have strengthened the industry’s ability to detect suspicious billing patterns, identify high-risk providers, and support prosecution efforts when necessary.
Today, our work sits at the intersection of cost containment and anti-fraud advocacy.
The impact is both measurable and meaningful:
- Millions of dollars in reduced medical spending and lien exposure for our clients
- Accelerated claim closures that improve operational efficiency and financial outcomes
- Early identification of questionable provider activity, helping prevent downstream losses
- Ongoing collaboration with anti-fraud organizations and public agencies to protect the integrity of the system
We are proud to contribute not only to our clients’ financial performance, but also to a larger purpose—ensuring that resources are preserved for those who truly need care.
At CostFirst, our values—Transparency, Integrity, Stewardship, Innovation, and Unyielding Commitment—are not statements; they are practiced daily. They guide how we lead, how we serve, and how we continue to evolve.
As we look ahead, our focus remains clear:
To advance our technology, deepen our data intelligence, and expand our role as a trusted partner in both cost containment and fraud prevention.
The future of this industry will not be shaped by isolated services—but by integrated ecosystems that deliver clarity, control, and confidence.
We are proud to be part of that future.
Moving forward, together.
Beth Howard, CPC
Chief Executive Officer
CostFirst Corp.
