A method of controlling healthcare claim payment losses including accessing claim information after a payer is prepared to pay the claim, but prior to payment, evaluating the information and developing a score indicative of loss control opportunities and if the score exceeds a threshold, flagging the claim to the payer for loss control opportunities else, recommending payment, wherein flagging of the claim or recommending payment of the claim occurs prior to payment. A healthcare claim loss control system including a database having data related to claims and a scoring engine in communication with the database wherein the scoring engine accesses data corresponding to a claim when the claim is ready for payment, but before payment occurs and wherein the scoring engine evaluates the claim for loss control opportunities and generates at least one score for the claim corresponding to the evaluated loss control opportunities before payment.