Balance Bill Protection: Often Promised, Rarely Executed
A strong balance bill defense is essential to a successful reference-based pricing health plan. But what does that look like? And how…
Resources
Audit of Cesarean Delivery Saves Member $9,978.12
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
Why Are There Extreme Differences in the Cost for the Same Procedure?
Hospital charges and hospital costs for the exact same procedure can vary greatly. For the purposes of this article, we compare a common procedure reported/billed…
Unlocking Healthcare Savings With Reference-Based Pricing
ClaimDOC Senior Vice President of Growth Omar Arif joined Lester J. Morales on an episode of the Impact Health Care Podcast to share how ClaimDOC…
Audit of 8-Day Hospital Stay Saves Member $10,449.32
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
PBMs: Are You Getting Good Advice – Part 2
In the second half of our discussion on PBMs, Marc A. Sweeney, Pharm.D., BCMAS, Trevor Daer and Mike Kroupa return to give…
Audi Crooks: ClaimDOC Brand Ambassador
Iowa State University women’s basketball player Audi Crooks and West Des Moines-based ClaimDOC come from the same small-town roots, but they have something bigger in…
Egregious Physician Charges for Varicose Vein Procedures
There are multiple treatment options for varicose veins, including endovenous laser ablation, sclerotherapy, ligation with or without striping, and others. Some procedures are performed in…
Looking Back and Looking Forward
As a privately held, family-owned company, we are proud of the fact that we can do what is right for our customers and reinvest profits…