Validated — Double-Billing on Healthcare Claims Is Real
Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication do not catch, leading to greater savings for medical plans…
Resources
Fee Structure — You Have a Better Idea?
Now that ClaimDOC has established itself as the gold standard for full-service RBP with veteran brokers, the bulk of sales come down to getting good…
Audit of heart attack treatment results in $2,950.53 member savings
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…
Keeping Claims Honest — The Role of a Fiduciary
ClaimTalk Ep. 5 As a fiduciary, you are responsible for ensuring medical claims are billed accurately. If your plan administrator is…
Excessive Markup of CT Scans — What Is a Fair Charge?
Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication do not catch, leading to greater savings for medical plans…
Midyear Business Update
Around 2019, a broker in Georgia told us he wasn’t interested in telling anyone about how well we’d performed for his clients because he didn’t…
Audit of Chemotherapy Bill Saves Member $12,676.26
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…
RBP From the Front Lines: How Do You Measure Great Member Experience? With Baby Pictures
ClaimTalk Ep. 4 How do you silence RBP noise? In this month’s episode of ClaimTalk, we interview rock star member advocate…
Red Flags — Egregious Anesthesia Charges Billed to Member
Background In this Claims Audit Spotlight, we focus on recent claims where a ClaimDOC auditor raised red flags and asked the same question on both…