Resources

Apr 5, 2021

92% claim reduction after audit of outpatient treatment of knee osteoarthritis

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…

Apr 5, 2021

Audit of outpatient treatment of malignant melanoma results in 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 to health…

Mar 12, 2021

Audit of four-day hospital stay results in 87% 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…

Mar 12, 2021

6 Questions About Making the Switch to Reference Based Pricing

Healthcare costs continue to increase annually at a rate far above the national cost of living percentage. Health insurance is one of the largest expenses…

Mar 2, 2021

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…

Mar 2, 2021

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…

Feb 16, 2021

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…

Feb 16, 2021

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…

Feb 3, 2021

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…

Feb 3, 2021

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…