Health Care Benefits

Comprehensive Medical Claim Auditing

Available from ClaimDOC

Comprehensive Medical Claim Auditing

Product Overview

Comprehensive Medical Claim Auditing

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, including excessive usual and customary charges, duplication of claims, correct coding edits, unbundling of services, misuse of modifiers and numerous others.

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