Resources

Oct 20, 2020

Audit of COVID-19 hospital stay uncovers unbundled services resulting in huge 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…

Oct 20, 2020

Audit of three-day hospital stay results in 82% bill 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…

nytimes.com Oct 20, 2020

A $52,112 Air Ambulance Ride: Coronavirus Patients Battle Surprise Bills

rand.org Oct 7, 2020

Nationwide Evaluation of Health Care Prices Paid by Private Health Plans

Oct 1, 2020

Claim reduction of 81% after audit of intestinal obstruction 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…

Sep 29, 2020

Member Education, the key to a successful RBP program

Education is the basis of a successful health benefits experience, especially when it comes to reference-based pricing (RBP). Creating a robust year-round education program that…

Sep 15, 2020

Audit of elective surgery results in $246,861 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…

Sep 2, 2020

Renewal season is upon us

If you think you will flatten renewals this year, you should reconsider. While it is true COVID-19 held utilization down to levels unseen for almost…

Sep 1, 2020

Audit of treatment of convulsions leads to an 88% 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…

Aug 19, 2020

$69,894 in plan savings after audit of six 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…