Stop Paying More for Less
There is an abundance of non-fiduciary reference based pricing (RBP) vendors who charge a fixed cost per employee per month (PEPM), aka “repricers.” Repricers have…
Resources
Significant Variations in Charges for Routine Colonoscopy Services
Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings for health plans…
Audit of outpatient dialysis services for the treatment of end stage renal disease results in a 96% 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…
Passion Behind Pave the Way
Pave the Way is ClaimDOC’s trademarked proactive healthcare provider outreach program, which begins during the implementation phase, before the effective date, and continues throughout the…
92% bill reduction after audit for six-day hospital stay for treatment of stroke
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…
RBP Strategic Partners, the Key to Long-Term Group Medical Success
The ClaimDOC Sales Team frequently runs across brokers and consultants who have been told very black and white versions of building out a referenced based…
Identifying and Addressing Common Medical Billing Errors
Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings for health plans…
Audit of ASC services for treatment of neck and back pain and related surgery results in a 99% 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…
99% bill reduction after audit for anesthesia services for colonoscopy procedure
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…
Audit of left arm humerus fracture treatment results in 90% 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…