Resources

Aug 10, 2020

Audit of newborn delivery results in major client savings

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

Aug 7, 2020

New price transparency regulations

Healthcare-related costs continue to soar. The number of patients who are surprised when they receive an astronomical bill for a covered service is also growing…

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…

npr.org Mar 4, 2020

A $41,212 surgery bill compounded a patient’s appendicitis pain

Just one of many instances of over-inflated healthcare charges and their complexities.

employeebenefitadviser.com Mar 4, 2020

A how-to guide for reference based pricing

Get the skinny on how the RBP model can save you big bucks.

employeebenefitadviser.com Mar 4, 2020

It’s time to choose: status quo or disruption

Sources agree: the employer’s only hope for controlling spiking health care costs is to opt for insurance industry disruptors.