Stop Overpaying for Health Benefits (RBP) for Employers
In Part 1 of a two-part series, ClaimDOC Vice President of Business Development Danielle Young sits down with Chelsea Ryckis for an episode of The…
Resources
What Is a Fair Charge for a Blood Glucose Test?
A blood glucose test is done to measure the amount of glucose in the patient’s blood using a reagent strip test method. Ancillary staff in…
Midyear Business Update — The Best of Times
Sometimes you just have to turn on some classic rock to get your mind right. I’m not sure how much Styx knew or cared about…
$49,300.63 in Plan Savings After Audit of Six Day Hospital Stay
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and…
Why the Variation of Physician Fees for the Same Medical Service?
Let us zero in on a service many physicians bill: CPT code 99291. Defined as “critical care, evaluation and management of the critically ill or…
Adapt or Fall Behind: Making Nontraditional Plans Thrive
For nontraditional health plans to work — whether they use reference-based pricing or another strategy — they often require customized solutions. As health plans…
The New Playbook — Manipulating HR
This year marks my 20th year in the employee benefits industry. It’s hard to believe two decades have passed since I took my first steps…
Member Saves $5,624.94 on Hospital Stay and Surgery
With DirectAccess+ — ClaimDOC’s reference-based pricing health plan solution — clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial…
Direct Contracts & Healthcare Pricing Complexities – Part 2
Whether you’re using a reference-based pricing strategy or some other alternative, there are many challenges in creating an effective direct contract. Much of…