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Aug 5, 2020

Audit of injuries from car collision leads to major plan 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…

Jul 22, 2020

Audit of spinal surgery results in major client savings

Background ClaimDOC’ s comprehensive line-by-line auditing uncovers errors that basic repricing and auto-adjudication do not catch, leading to greater savings to health plans…

Jul 22, 2020

$98,432.13 in plan savings after audit of hip replacement

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…

Jul 9, 2020

Full Network Replacement

Traditional program structure for reference-based pricing has included a physician-only network coupled with a vendor capable of auditing and applying revised pricing to facility claims.

Jul 8, 2020

Audit of outpatient back surgery results in 91% 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…

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