Through our partnerships, we’ll help you get your claims from the source, to one or multiple destinations, and then back to you before we take a final look.
Through a mixed approach to containing costs and IA, each claim is set on the right path to savings.
Claims are reviewed, audited and edited based on the following factors.
(Accuracy, Cost, Coding, Unbundling/Bundling, DRG/APC and NCCI edits)
We save our customers the most Plan dollars on the highest cost claims.
Partnerships with providers so that our members can feel safe to venture out of their primary network - should the need arise.