Medical providers in the United States are losing over $125 billion yearly due to underpaid and improperly denied insurance claims.
Our partner's proprietary technology identifies and recovers underpayments, manages denials and overpayment fines and responses, automates appeals and requests, and is a contract modeler essential in negotiating more favorable contracts.
All underpayments are paid directly to you by the insurance company.
Sample Analysis Audit Results: Texas – For a 123-bed hospital, we identified $6 million in underpayments through Blue Cross Blue Shield alone.
The Underpayment System historically uncovers 5-30% of commercial payments which have been paid incorrectly on every analysis.
Of the 5-30% of the discovered underpayments, 85-90% of the identified claims are collected.
Once we have received all contracts and data files, it typically will take around 15 days to complete the analysis and start the appeals process.
Every situation is different. Our program delivers industry-leading results, added value analytics and support data, and in most cases, we deliver double the industry standard in data and payments.
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