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Services

We can work with you to meet your objectives. 

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On-Going Claims Review

Commit to agile on-going fiduciary diligence through building payment integrity into your plan’s governance

Core:

  • Quarterly claims data analysis and report

  • Facilitate/Document request for service provicder language

  • Review SPD language

  • Assist with claims data request

Add-ons

  • Recovery

  • 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:

  • Facilitate/Document request for service provicder language

  • Review SPD language

  • Assist with claims data request

  • Historical claims data analysis and report

Add-ons

  • Recovery

  • Itemized review of top high-dollar claims

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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

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