MoraeSpend Intelligence
Insurance Claims edition

Realized savings ledger

Every reduction tracked from flagged to paid; the number the outcome fee is billed on
Generate outcome-fee statement
From flagged to cash kept
of reviewed spend
Flagged by AI and specialists
→
Applied · 74% of flagged
→
Appealed · 13% of applied
→
Reinstated · 46% of appealed
→
Realized, reconciled to payment · 6.9% of reviewed
→
91%
Retained at 12 months
By rule
Precision of auto-applied adjustments is measured against appeal outcomes and specialist overrides
RuleFlaggedAppliedReinstatedRealizedAuto-apply precisionTrendRead
LMG-4.2 Approved rate99.1%StableDeterministic; keep auto-apply
LMG-6.1 Block billing86% · specialist tier−22% Q/QFirms are splitting entries; narrative test losing power
LMG-7.3 Clerical / administrative96.4%StableKeep auto-apply
LMG-5.4 Duplicative attendance91%ImprovingEngagement-letter exceptions now parsed
LMG-9.1 Excessive time for task97.8%RisingTime-reasonableness now carries the most weight
Invoice-level value bridge · 2026-0918
EventAmountEvidenceOriginal bill$23,460LEDES 98BIProposed adjustments$2,6705 findingsRestored on appeal($405)Specialist decisionFinal payable$21,195Client approvalPaid$21,195ClaimCenter payments 28 SepAllocated review cost($141)Specialist timeNet realized on this invoice$2,124On payment
Value categories kept distinct
Invoice reductions, realized
Reconciled to payment; the outcome-fee base
Avoided future spend
Settle/defend and routing decisions; recognized at claim close
$1.9M est.Expected cost difference
Firm reallocation vs incumbent; recognized on outcome
$1.1M est.Deferred capacity
Hours moved, not cash saved
410 h
These are never summed into one "savings" figure.
Outcome fee this period
22% of realized savings · platform floor fee met · statement reconciles line by line to ClaimCenter payments
ReviewerUpheldM. Naidoo (specialist)96%Specialist pool94%AI auto-apply97%Client reviewers89%