TAHP · TX Covered 2026
Your prompt pay exposure isn't a claims system problem. It's a data problem.
Broken or missing provider data pends the claim. Contract configuration and fee schedule gaps misprice it. Maven One handles both, without a core system replacement.
Want to see it on your own claims? Request a Kestrel enterprise demo and we'll set up time personally.
Claims pay wrong more often than most plans realize
In our experience, provider data alone drives 25%+ of claims that pend or price incorrectly. That's expensive: pended claims cost roughly 22x more to process than clean ones — $20.00 versus $0.90 per claim — and for a 100,000-member plan, that gap can mean $1.9M a year in pend-processing costs alone.
Cost-per-claim benchmark: Wolters Kluwer Health Language. $1.9M example calculated using Maven One's own exposure model at 100,000 members / 75% auto-adjudication rate — actual results vary by plan.
Purpose-built for payment accuracy
Kestrel
Kestrel prices claims to your real contracts and drives the provider matching that keeps auto-adjudication high.
Managed federal and state fee schedules ensure you're always up to date without taxing your staff or reprocessing claims because of delayed rate loads.
Dragonfly — supporting Kestrel
Dragonfly organizes and structures provider data so it actually works for claims systems — the layer that keeps Kestrel's matching accurate.
What Kestrel delivers
What's your plan's number?
A 100,000-member plan can lose $1.9M a year to pend-processing costs alone. Get access to Maven One's Provider Data ROI Calculator and see your own exposure.
See it on your own claims
Want to see it on your own claims? Request a Kestrel enterprise demo and we'll set up time personally.