Single Claim Review
If the plan paid a high-dollar inpatient bill in the past 12 months, WellRithms provides an indepth review and determines the exact overpayment and recoverable amount from the claim.
- Fast and precise results
- Highest chance of recovery
One-Time Historical Lookback
Understand your plan’s past performance for a clear picture of how gags have affected claims processing.
-
Understand adjudication and provider patterns at scale
-
Build a strong case for contract renegotiation
On-Going Claims Review
Health plan fiduciary requirements are under scrutiny. Ongoing claims reviews provide a quarterly report of past claims for the plan to keep their finger on the pulse.
-
Get ahead of poor claims adjudication
- Optimize plan governance and fulfil fiduciary responsibilities to benefit the plan and minimize liability
Want to Know More?
Let’s talk about how we can level the paying field by fighting for fair reimbursement.
