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If you represent a Self Insured Company, your medical insurance is probably handled by a Third Party Administrator (TPA). In addition, you more than likely have Stop Loss Insurance to cover very large claims. If so, is your TPA auditing bills for accurancy? Do they do this routinely? Only for bills over a certain amount? Not at all?? When was the last time your TPA credited you with a refund for an overpayment and wrote you a check instead of the other way around? You may be blessed with a great TPA or cursed with a glorified check writer. Let us take a look at your claims history and audit some of those bills for accuracy. TPA's are using your money to pay those bills and you want to be sure that they are using it wisely. Rubber stamping claims from providers is not careful use of your money. Are rising premiums solely due to the rising cost of healthcare or can some of the increase be due to careless claims payment?
Charges for our services in reviewing your companies medical bills can be based on a percentage of savings or flat and hourly rates. Call us for a cost free consultation. |
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