HIP
Hospital Indemnity
Prepayment review for Hospital Indemnity claims: benefit amounts, facility multipliers, waiting periods, overlapping stays, utilization limits, and duplicates, checked before payment.
Solutions
Prepayment review for the lines major-medical tools overlook
Trestl is built for fixed-benefit supplemental health: Hospital Indemnity, Accident, and Critical Illness. It serves the organizations that pay, administer, and oversee those claims.
By line of business
Three lines, each with its own plan logic
ACC
Accident
Prepayment review for Accident insurance claims: scheduled benefit amounts, per-accident and plan-year limits, AI-assisted duplicate incident detection, and duplicate claims.
CI
Critical Illness
Prepayment review for Critical Illness claims: covered diagnoses, recurrence separation, subsequent-diagnosis rates, relationship percentages, benefit amounts, and AI-assisted clinical document review.
Photographs are illustrative.
By organization
Who Trestl works with
Authority stays where it belongs. The carrier, or the TPA it authorizes, decides every claim; Trestl supplies the checks, the evidence, and the workflow.
Insurance carriers
Check claims on your voluntary book before payment, keep benefit ledgers accurate in both directions, and give plan sponsors evidence of prudent oversight.
Third-party administrators
Add prepayment review inside your principal’s authority: connect your existing feeds, work findings in your queue or ours, and return decisions to adjudication.
MGAs and program administrators
Program-level visibility into payment accuracy across carriers and products, with each client’s data isolated.
Partners
Benefits platforms, brokers, and consultants who want to bring prepayment integrity to the carriers they serve. Every introduction starts with the carrier’s consent.
See your claims through a prepayment lens
Start with a conversation about your book, the claim decisions that need attention, and who owns them. We will show the platform on synthetic data and agree whether a scoped review makes sense.