What you should know about ClaimDoc:
Claim Doc services open-access self-funded health plans throughout the country. Our program conisists
of provider relations, member advocacy and bill review. We work to ensure fair pricing and better
payment experience between the provider/facility and member/plan.
Seeing our members:
We strive to make things as simple as possible for the providers caring for our members. The plans we
work with are open-access, which means they don’t require either contracting or credentialing. Simply
submit a clean claim to the address or EDI listed on the member’s ID card. Because we are an openaccess
there are no out-of-network fees or penalties associated with this plan.
If your office isn’t able to see member without a contract in place:
While the plans we service are open access, we recognize that some providers have policies which
require a contract before they’re able to file claims for members. As a co-fiduciary to the plans we
service, ClaimDoc is authorized to contract directly with providers on behalf of our clients.
We take pride in having a simple and efficient contracting process. To begin, just send an email to
firstname.lastname@example.org and one of our team members will get in touch to start the process.
Do you have a question that’s not answered here? You can reach our provider relations team at
Reasons to Explore a Relationship with ClaimDOC
- COMPREHENSIVE. Our claim audits are completed by licensed healthcare professionals. We’re on the lookout for everything – from billing errors to medical appropriateness and egregious pricing.
- FLEXIBLE. Clients have multiple options, each with rate caps:
A) Post-claim auditing and advocacy; B) Pre-claim negotiation, claim auditing and advocacy; C) Claim-specific auditing and advocacy.
- DIRECT. Our expert staff negotiates claims and direct-to-employer agreements to enhance member experience