Claims recovery firm gives companies the edge in containing rising heath insurance costs
Since 1985 Health Decisions, Inc. has helped self-funded companies manage employee health benefits with its proven ability to save money typically 1-3 percent of claim costs.
Plymouth, MI September 30, 2004 -- Since 1985 Health Decisions, Inc. has helped self-funded companies manage employee health benefits with its proven ability to save money typically 1-3 percent of claim costs.
Health Decisions, Inc. of Plymouth, MI, offers the most comprehensive Post Payment Claim Recovery Service in the industry.
Nobody addresses more areas of claim recovery or recovers more money per client than we do, says Si Nahra, firm founder and president. In addition, we will develop customized recovery applications requested by the client at no additional cost.
Health Decisions goes much deeper seeking claims to recover by conducting a review of 100 percent of claims in more than 30 areas to identify and recover claims paid that are not the employers responsibility.
Many employers suspect that greater savings can be generated through aggressive claims administration, including coordination of benefits, but few are even aware of the potential for even more savings when claim processing is coupled with aggressive eligibility verification.
Beyond providing opportunities for claim savings, the Health Decision review offers employers the most comprehensive and affordable approach to claim auditing available.
Our audit capabilities extend to the reconciliation and verification of enrollment information, says Nahra. Health Decisions assumes the technical and tedious aspects associated with enrollment reviews which gives employers the ability to address claims recovery management without disrupting current staff assignments.
The claim auditing process includes use of Health Decisions specialized staff to conduct a complete Enrollment Verification Survey of all covered persons with the full range of information needed for claim administration and regulatory compliance.
Health Decisions also gives employers direct access to claims, enrollment, and all other plan data in easy-to-use Microsoft or web-compatible formats.
All of our services allow employers to document in a tangible manner their fiduciary responsibilities and provides a means for employers to satisfy HIPPA requirements, Nahra adds.
Companies ranging in size from one site with 100 employees to multi-site corporations with thousands of employees have discovered that Health Decisions provides the technical expertise that will help control benefit costs.
About Health Decisions:
Health Decisions, Inc., a privately owned, Michigan Corporation, specializes in benefit data management services to clients throughout the country.
Since 1985, Health Decisions, Inc. has successfully served hundreds of clients -- HMOs, insurers, TPAs and self-funded groups of all sizes. The firm successfully processes annually more than a billion dollars of paid claims data and processes special surveys for more than 225,000 covered members.
Health Decisions has taken its core competencies of technical expertise, data sophistication, and a pragmatic service orientation and developed a series of products with proven value and considerable potential for growth.
Health Decisions, Inc. distinguishes itself with its service philosophy: Respect for existing procedures; emphasis on customization; and, focus on solutions
For further information about Health Decisions cost-cutting services for self-insured employers go to www.healthdecisions.com, send an inquiry to hdi@healthdecisions or call 800.589.2500.
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