The Institutional Standard for
Clinical Oversight.
Securing the integrity of medical necessity with precision clinical determination. Signal Core provides the authoritative framework for health system governance and physician-led review.
Core Infrastructure
Registry of Clinical Truth.
Our concurrent review engine analyzes the Severity of Illness (SI) and Intensity of Service (IS) against CMS Two-Midnight standards. We don't just suggest status—we provide the structured clinical justification required for institutional defense.
Point-of-Entry Screening
Immediate decision support for ED-to-Inpatient admissions.
Concurrent Monitor
Daily clinical record evaluation for continued stay necessity.
Criteria Matching
Direct mapping of records to InterQual and MCG clinical benchmarks.
Criteria Alignment
"Evidence of acute organ dysfunction documented."
Strategic Advocacy
Peer-to-Peer Defense.
Never let a physician advisor enter a Peer-to-Peer review unprepared. Signal Core distills thousands of clinical pages into three high-impact talking points that insurance medical directors cannot ignore.
Policy Matching.
We match clinical records against the specific Payer's own internal medical policies.
Win-Rate Intel.
Identify which arguments have historically overturned denials for specific peer reviewers.
Clinical Synthesis.
Institutional extraction of specific proof-points (labs, vitals, imaging) to anchor the defense.
99291 (Critical Care)
Variance Detected
99215 (Outpatient)
Medicare Floor Compliant
Financial Governance
Rate Intelligence & Parity.
Utilization review is only half the battle. Signal Core cross-references insurer rate sheets and MRF disclosures to audit contract compliance and prevent underpayments in real-time.
Statewide Peer Benchmarking
Compare negotiated rates side-by-side against regional peers in Michigan to identify contract leverage opportunities.
Dual-Source MRF Audit
Instantly cross-reference insurer TiC disclosures against hospital rate sheets to expose compliance variances.
EDI 835 Claims Auditor
Audit processed claim files to detect contract underpayments and monitor Medicare Floor compliance.
Our Commitment
Preserving Clinical Judgment.
Utilization review is a clinical discipline, not just an administrative one. We architect technology to handle the cognitive load of documentation retrieval so that medical staff can focus exclusively on patient determination.
Signal Core was developed by medical directors who understand the operational pressure of 24/7 hospital throughput. We don't replace the physician; we provide the evidence they need.
14+
Years of Expertise
24/7
Clinical Support
Institutional Trust
Institutional HIPAA Governance.
We protect PHI as if it were our own. Every single case undergoes Google DLP automated scrubbing, AES-256 at-rest encryption, and full MFA-enforced access control.
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Secure the Integrity of your
Clinical Revenue.
Join the health systems utilizing Signal Core to stabilize medical necessity determination and reduce administrative friction.
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