Resources
90% claim reduction after an audit of treatment of ovarian cyst
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…
Audit of outpatient laparoscopic hysterectomy results in 78% plan savings
Case Scenario Member underwent outpatient surgery for a laparoscopic hysterectomy at a medical center located in Georgia. The hospital submitted their facility claim to insurance…
Audit of dialysis treatment results in a 99% claim reduction
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…
My Journey From BUCA to ClaimDOC
The US healthcare system provides an undeniable quality of care, technology, and providers. Yet, these providers are disconnected from the member by a maze of…
87% claim reduction after an audit of a 14-day hospital stay
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…
Audit of surgery performed in a ambulatory surgery center results in major savings
Background ClaimDOC’ s comprehensive line-by-line auditing of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings…
Audit of heart disease and diabetes treatment results in a 80% claim reduction
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…
99% claim reduction after audit of end-stage renal disease treatment
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…
Audit of hospital inpatient services results in an 89% plan savings
Background ClaimDOC’s comprehensive line-by-line auditing of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings for…
Audit of umbilical and inguinal hernias repair results in a 90% claim reduction
Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit…