Covert is a claims analytics and opioid-risk prevention company serving self-funded employers, health plans, PBMs, TPAs, and other benefits partners. We address a critical gap in traditional opioid programs: withdrawal and escalating risk can remain hidden in pharmacy claims until abuse or addiction becomes visible, while avoidable healthcare utilization continues.
Our patent-pending algorithm analyzes prescription claims to detect early risk indicators and pinpoint prescribers providing opioids to at-risk patients. Covert then reaches out on behalf of the client, equipping prescribers with CDC Best Practices and current treatment protocols so they can intervene at the next refill. We continue monitoring pharmacy claims to measure prescriber adherence and changes in patient risk.
Our mission is to save lives, prevent addiction, and reduce avoidable medical spend. Unlike solutions that rely on member outreach, utilization management, prior authorization, or claims denials, Covert works through prescribers without PHI or member disruption. This prevention-first approach has produced 98% provider adherence to CDC Best Practices and a 75% reduction in at-risk members.
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