Our groundbreaking service provides real-time data to the funders of health insurance that prevents fraud and identity theft before the claims are paid.
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29K Clients
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We Help Lower Health Insurance Costs for Health Plans Associated With -





Lifting the Veil and Identifying Where Your Healthcare Dollars Are Spent
Self-insured plans and high deductible health plans (HDHPs) bear the risk of healthcare costs, especially those caused by health system data breaches and fraudulent healthcare transactions. Castlestone instantly receives information and flags suspicious activity to identify and investigate potential risks and prevent inappropriate payments more easily.
Easy set-up (No hardware or software required)
Our cloud-based system lets you start tracking health transactions without any additional hardware or software.
Real-time data analysis
Review all healthcare transactions as they happen and generate reports that flag potential fraud.
Who We Serve
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Self-Funded Health
Manage your employee’s health insurance better by reducing costs, fraudulent and erroneous claims
Union Members
Unions have worked hard for many years to negotiate quality benefits for their members.
Comprehensive Group Health
School board members, district financial managers and staff organizations, strive to give your school district
Preventing Fraud in Medicaid
Government-sponsored health plans often cover millions of persons serviced by tens of thousands of offices
Here’s How It Works
Plan members receive member ID cards that can be read by any existing credit card terminal in the U.S.
Rules engine allows point-of-sale terminal to generate alerts.
Real-time portal receives, displays, and processes card transactions and integrates data with internal systems.
During the claims process, the system matches details of each transaction with the corresponding claim.
Our Latest Projects
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Client Case Study
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Strategic Planning
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Business Solution For your Finance
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Financial Insight For Client
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Business Growth Strategy
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Public and Private Organizations Saved Millions Thanks to Our Fraud Protection.
Meet the Minds Powering Growth
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What Our Client Say About Us
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Certified Expert
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Expert Guidance
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“Marko completely transformed our online presence! Their digital marketing strategies helped us double our revenue in just six months.”
About Our Services Questions
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Less Pay Get More Benefits Buiness
Q.1 What services does Castlestone provide?
Castlestone uses existing payment networks to deliver real-time information to purchasers and overseers of healthcare. Our services prevent, detect and deter health insurance fraud. We also empower self-insured plans to create, manage and pay networks of their choosing.
Q.2 What are the advantages of using this service for healthcare fraud prevention?
Our technology is the only fraud prevention service in place to capture verified time, location and orders or codes in real time at the point of care.
Q.3 What is the estimated Return on Investment using Castlestone’s services?
The average cost of fraud or inappropriate claims for self-insured employees is between $1,085 and $1,860 per year, and our estimated monthly cost of service per employee is less than $3 per month. We piloted our services with the Medicare Durable Medical Equipment program, and the program estimated a 765% return on investment. The Government Accountability Office opined that we could address ¼ of health insurance fraud. We’d say affordable is an understatement.
Q.4 How quickly can automation be set up?
Implementation of Castlestone services takes from 30-45 days from contract signing to cards in employees’ hands.
Our Latest Blog
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