Syrtis Solutions Marks 16 Years of Real-Time Prospective TPL Cost Avoidance for Healthcare Payers

ATLANTA, May 7, 2026 /PRNewswire/ -- Syrtis Solutions, a leader in third-party liability (TPL) technology for healthcare payers, today marked its 16th anniversary and reaffirmed its commitment to advancing real-time prospective cost avoidance through its flagship ProTPL platform. Since 2010, Syrtis has helped payers move beyond the costly "pay and chase" model by identifying accurate, active TPL coverage at the point of adjudication — a capability that continues to set the company apart from every existing service in the market.

Healthcare payers lose billions annually to improper claims payments when third-party coverage — such as commercial pharmacy or medical plans — goes undetected. The "pay and chase" approach requires payers to reimburse claims first, then invest significant staff time and resources in pursuing recoveries after the fact. These recovery efforts carry high administrative costs and often low collection rates, draining resources better spent on member care and program operations.

ProTPL changes that equation entirely. Built on proprietary access to one of the nation's largest master patient indexes (MPI) and advanced matching algorithms, the HITRUST CSF certified platform analyzes NCPDP-standard pharmacy transactions and medical claims in real time. It delivers precise, actionable data on active primary coverage. When active TPL is identified, payers can immediately reverse the latest claim and prevent future erroneous payments — achieving genuine cost avoidance at the point of adjudication rather than incurring the expense of post-payment recovery.

"For 16 years, Syrtis has been focused on one thing: giving payers an accurate, real-time view of active third-party coverage so they can avoid improper payments before they happen," said Steve Konsin, Founder of Syrtis Solutions. "ProTPL captures active TPL in real time in a way that traditional pay-and-chase approaches and other existing services simply cannot. The result is faster, cleaner savings that eliminate the expensive burden of chasing dollars that should never have been paid."

Payers using ProTPL report up to a 40% increase in primary payer discovery beyond standard TPL processes and an average 25% improvement in identifying other health insurance overall. The platform works seamlessly for both pharmacy and medical claims, reducing improper payment risk and costly recovery overhead. As a HITRUST CSF certified platform, ProTPL also delivers the data security and privacy assurance that healthcare payers demand.

Reaching the 16-year mark also reflects Syrtis's continued investment in its broader product portfolio, including the recently expanded CoverageVerify service, which uses HIPAA-standard 270/271 transactions to keep payer eligibility data continuously refreshed and accurate. Together, ProTPL and CoverageVerify give payers a layered defense against eligibility-related leakage — combining real-time prospective identification with ongoing verification across the full member population.

In an era of tightening budgets and heightened scrutiny on program integrity, Syrtis Solutions remains committed to helping payers prevent improper payments upfront and redirect resources toward member services and operational efficiency.

For more information or to schedule a free quantitative claims analysis, visit www.syrtissolutions.com.

About Syrtis Solutions Syrtis Solutions provides healthcare payers with advanced, technology-based solutions for prospective cost avoidance of pharmacy and medical claims. Through its flagship ProTPL platform and CoverageVerify service, the company delivers real-time TPL identification and ongoing eligibility validation using pharmacy eligibility network data, proprietary algorithms, and direct 270/271 payer verification — helping payers avoid improper payments and reduce dependence on costly "pay and chase" recovery. Founded in 2010, Syrtis Solutions is dedicated to helping payers maximize savings while maintaining quality member services.

Contact: 
Steve Konsin, Jr. 
866-960-9358
[email protected]

SOURCE Syrtis Solutions