Products by ClaimDOC

DirectAccess+® — ClaimDOC’s unique RBP solution — leverages superior member advocacy to build partnerships with members and providers while consistently maintaining a 360° View of Risk® as co-fiduciary. Using next-generation technology paired with a human touch makes ClaimDOC the most sustainable...

Pave the Way is ClaimDOC's proactive provider outreach program. It works to educate both members and their providers to create an optimal outcome. It is a comprehensive initiative designed to streamline the process of accessing and utilizing healthcare services. By paving the way for smoother...

ClaimDOC’s comprehensive line-by-line auditing of claims uncovers errors that basic claim repricing and auto-adjudication fail to catch, leading to greater savings for health plans and plan members. Our audit team analyzes all types of healthcare claims for a variety of potential concerns,...

ClaimDOC serves as a co-fiduciary, volunteering to take on an elevated level of liability to act prudently and make decisions on behalf of the plan. ClaimDOC provides comprehensive support and expertise in managing healthcare benefits. With a focus on transparency and cost containment, ClaimDOC...

ClaimDOC's balance bill support program provides education on financial responsibility and relieves members of obligations to engage in disputes about payments to providers. It offers a proactive approach to managing unexpected medical bills. By working directly with providers and insurers,...