ADVISORS UNLEASHED – Part 1
This month’s edition of ClaimTalk is the first half of a two-part discussion with brokers and industry experts Craig Gottwals and…
Resources
The Merit of Auditing Healthcare Claims
Successful auditing of medical claims does not merely identify problems, it also pushes healthcare providers to bill honestly and follow coding and billing guidelines/regulations, assists…
The RBP Buying Conversation: It’s Not Apples-to-Apples
When I worked as a broker, I always believed that modest and selective diversification of carrier partners was important. For each line of benefits coverage…
Member Saves $14,046.68 After Audit of 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…
RBP From the Front Lines: Got a Provider Access Fire? Call a Fixer
Access will always be an obstacle with RBP medical plans. At ClaimDOC, we believe obstacles can be overcome.
Validated — Double-Billing on Healthcare Claims Is Real
Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication do not catch, leading to greater savings for medical plans…
Fee Structure — You Have a Better Idea?
Now that ClaimDOC has established itself as the gold standard for full-service RBP with veteran brokers, the bulk of sales come down to getting good…
Audit of Heart Attack Treatment Results in $2,950.53 in Member Savings
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…
Keeping Claims Honest – The Role of a Fiduciary
ClaimTalk Ep. 5 As a fiduciary, you are responsible for ensuring medical claims are billed accurately. If your plan administrator is…