ClaimDOC Balance Bill Process
A balance bill occurs when a provider or hospital receives a fair and reasonable payment from insurance but seeks to collect additional amounts directly…
A balance bill occurs when a provider or hospital receives a fair and reasonable payment from insurance but seeks to collect additional amounts directly…
Reference based pricing (RBP) is a generic term used to describe a type of medical claim pricing utilized by self-insured medical plans. Simply put,…
ClaimDOC Member Advocates help navigate medical plans and assist with: Finding a doctor or facility for medical treatment Finding a less costly healthcare provider…
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…
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…
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…
We released an Audit Spotlight in our last newsletter related to a COVID-19 claim. The claim example generated many questions from the brokers…
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…