Services
We can work with you to meet your objectives.
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
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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
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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
Let's Discuss
Fill out our intake form to get a call scheduled to discuss what is the best solution for your plan