Our Corporate History

In 1999, IntegriGuard emerged as a division of Lumetra, the California Quality Improvement Organization.

In April 2003, IntegriGuard, LLC, officially formed as Lumetra's first wholly owned subsidiary.

Our Federal Contracts

In May 1999, the Centers for Medicare & Medicaid Services (CMS) awarded IntegriGuard, as one of 13 companies nationwide, a Program Safeguard Contractor (PSC) contract under the new Medicare Integrity Program. In winning this designation, IntegriGuard became eligible to bid on federal task orders for detection and prevention of healthcare fraud and abuse.

In November 1999, we won our first PSC contract to conduct onsite visits to verify enrollment information for community mental health centers. The task order was later modified to include a large sample of claims for medical review.

In July 2001, IntegriGuard was also one among eight companies nationwide to receive a Medicare Managed Care Program Integrity Contract (MMC-PIC) from CMS.

CMS awarded IntegriGuard a new designation as a Qualified Independent Contractor (QIC) in September 2004. As one of eight QICs in the nation, IntegriGuard is eligible to bid for Medicare second-level appeal work.

IntegriGuard became one of eight companies nationwide in August 2005 to be designated as a Medicare Drug Integrity Contractor (MEDIC) by CMS. As a MEDIC, IntegriGuard is eligible to competitively bid on tasks intended to provide benefit integrity support in audit, oversight, and anti-fraud and abuse efforts associated with the Medicare Prescription Drug Benefit (Medicare Part D).

In January 2007, IntegriGuard, LLC became a schedule contractor for the General Services Administration (GSA). This contract award allows IntegriGuard to procure Enrollment & Eligibility, Fraud, Audit, and Investigative work through the GSA purchasing system.