Overview - Services - The Process - An Ounce of Prevention

If you are a Self-Insured Company, Union, Education or Municipal organization, you are probably overspending on your Medical Claims by 2% - 6% without even knowing it!

That 2% -6% is the national average for overpayments as a result of incorrect coding of medical claims.

This is NOT an audit service.  We do NOT compare your Plan Document to how it’s being administrated by your Third Party Administrator (TPA) or Administrative Services Only (ASO).  The only thing we are interested in is your paid claims.

We simply run 100% of your paid claims (typically for the past 2 years) through our proprietary system to identify overpayments you’ve made due to the incorrect coding of your claims. 

Once we identify these overpayments, our team begins the recovery process, which is achieving an average of 70% - 85% recovery rates.

Best of all, you and your team need only authorize us to review your claims through a secure, HIPPA compliant process.  
No other administrative work is required of you, the customer.   Just sit back and see what we find and recover for you!

The money we recover for you is like pure bottom line profit as there is no cost-of-sale associated with its recovery and we ONLY get paid if we recover.  Typically we return 50% off all funds recovered directly to you.