On-Going Claims Review
Commit to agile on-going fiduciary diligence through building payment integrity into your plan’s governance.
Core
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Quarterly claims data analysis and report
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Facilitate/Document request for service provicder language
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Review SPD language
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Assist with claims data request
Add-Ons
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Recovery
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Itemized review of top high-dollar claims
One-Time Historical Lookback
Understand your plan’s past performance for a clear picture of how gags have affected claims processing.
Core
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Facilitate/Document request for service provicder language
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Review SPD language
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Assist with claims data request
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Historical claims data analysis and report
Add-Ons
-
Recovery
-
Itemized review of top high-dollar claims
Overpayment Recovery
Get the highest return on your investment into health plan asset management. Must be done in conjunction with either a Historical Lookback or Quarterly Claims Review.
Want to Know More?
Let’s talk about how we can level the paying field by fighting for fair reimbursement.
