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With double-digit health care cost increases, managing health expenditure is a high priority in today's businesses and organizations. One way to reduce overall costs is to evaluate medical, dental, vision and pharmacy claims for potential payment oversights. Due to the volume of data and complexity of the billing systems an organization could not take on this task alone. PHRG is here to help.
We would like to partner with your organization to help in the evaluation process by analyzing 100% of your healthcare claims. PHRG has designed a Healthcare Claim Analysis Process to identify claims with potential processing oversights. This process is exception based, enabling your organization to focus their time on the claims with issues while ignoring those with minimal or no potential for monetary recovery. This system also provides normalization of multiple disparate claims processing platforms for unified analysis and reporting.
PHRG has a seasoned and diverse technical staff that ensures quality analysis. Programmers, data analysts and nurses at PHRG have over 30 years of health claim experience encompassing many different claims processing systems. We will work with you to ensure you have the information necessary to evaluate the potential for intervention.
Healthcare Claim Analyses are categorized into five (5) distinct classifications:
Please contact Gary Cattabriga or Dorothy
Radziszewski to learn more about this cost effective partnering opportunity.