ClaimDOC

One of the biggest knocks against RBP is that providers may deny care. Through Pave the Way, we address that concern head-on, ensuring providers will accept DirectAccess+™ before a member has an appointment.

This is what happens when you give your employees a medical plan that puts them first — a costly bill for a six-day hospital stay goes from outrageous to manageable.

This is TRUE SAVINGS USING TRANSPARENCY DATA. We’ve enhanced the monthly sample of audits we share with the public to compare ClaimDOC vs. network pricing. With this enhancement we can now properly express the MEMBER SAVINGS based on their actual plan copay.

Check out our updated DirectAccess+ audit savings information below, and see how DirectAccess+ protects members' money.

Audit of Hospital Stay Saves Member $4,923.03 - ClaimDOC, LLC With DirectAccess+™, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and health plans. Utilizing the median commercially contracted price gives a fair estimate on ...

Billing and coding errors are costing employers thousands of dollars with each claim. Find out how ClaimDOC's meticulous Claim Auditing team goes line-by-line to protect our members from billing errors in this month's Audit Spotlight.

So Many Ways to Code and Bill Healthcare Services Improperly - ClaimDOC, LLC Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings for medical plans and plan members. Our audit team analyzes all types of healthcare claims for ...

It was great to see so many of our partners this week at our NYC River Cruise on the Hudson. Thank you to everyone who attended and for helping us revolutionize healthcare with DirectAccess+!

Summer is here and so are plenty of celebrations for ClaimDOC! We are thrilled to wish 10 team members a happy birthday and 7 team members a happy work anniversary this June.

Our Member Advocates provide prompt, friendly and professional help to your members every time. Fantastic work, Amanda!

It’s always a great day for Pride! We’re thrilled to take part in the Capital City Pride Parade — a beautiful celebration of acceptance, solidarity and love. We’re proud to stand and support diversity, love and unity today and every day.

Pricing transparency hasn't changed the staggering costs of cancer treatment throughout the US. Find out how our Claim Auditing team found $250,098 in plan savings for outpatient chemotherapy services in our Audit Spotlight.

High-Cost Cancer/Other Drugs and the Mystery of Hospital Markups - ClaimDOC, LLC Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings for health plans and its plan members. Our audit team analyzes all types of healthcare claims ...

We had so many celebrations in May with 11 birthdays and 9 work anniversaries. Happy birthday and happy anniversaries to all of the wonderful people that make ClaimDOC great!

Giving employees the chance to keep more of their hard-earned cash while spending less on healthcare takes a gutsy HR leader. That’s why Jim Wilson says it’s time for HR to understand the negative impact of traditional solutions on the working class and take control of their medical plans.

https://claim-doc.com/resources/2024/05/be-a-leader-protect-member-money/

A member in Florida was left with a shocking $69,993.52 medical bill after outpatient services for an eye hemorrhage. Thanks to our experienced team of claim auditors, that bill was reduced by 93%.

93% savings after audit of eye hemorrhage and related surgery - ClaimDOC, LLC Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit results bi-monthly. See the savings below and know that together we can make ...

Thrilled to host 50 brokers, clients and vendor partners for a day of fine food, cocktails and fast cars at at the Indianapolis Motor Speedway! Thanks to all who attended and special thanks to ParetoHealthand Optavise for co-hosting this great event!

Today, we played B-I-N-G-O while we worked. Thanks to everyone for playing and congratulations to our winners — Ray Westerhoff, Brittany Salazar and Fallon Heater — who each received a Visa gift card!

Our Member Advocates won't accept anything less than the best for your members. Exceptional work, Carl!

We had an early Cinco de Mayo celebration in the office today with tacos, tres leches, arroz con leche, and cupcakes. Thank you, Pasteleria Raquel, for the delicious food!

ClaimDOC had a lot to celebrate in April with 7 birthdays and 7 work anniversaries. Happy birthday and happy anniversary to all of our wonderful teammates!

Another amazing ClaimDOC 6-on-6 basketball tournament is in the books! Congratulations to team champions Siri, Find My Jump Shot on their big victory! Check out the photos of the tournament and our celebration of brand ambassador Audi Crooks, who had a remarkable freshman season with Iowa State women’s basketball!

Special thanks to Audi for serving as our guest referee! And thanks to all our staff who participated in this year’s event for displaying a strong competitive spirit — a defining trait that both ClaimDOC and Audi share!

Today was an exciting day at ClaimDOC as we hosted the semifinals and championship of our annual 6-on-6 basketball tournament! This year was even more thrilling as ClaimDOC brand ambassador Audi Crooks was in the office as our guest referee!

Our dedicated Member Advocates make our plan truly one of a kind. Fantastic work, Marissa!

Without ClaimDOC, 75 minutes of anesthesia could cost your members $52,000. Find out how our claim auditing team saved two members 99.8% on their bills in this Audit Spotlight.

Egregious Charges for Anesthesia Services Raises Red Flags - ClaimDOC, LLC Background ClaimDOC’s comprehensive line-by-line review of claims uncovers errors that basic claim repricing and auto-adjudication does not catch, leading to greater savings for health plans and its plan members. Our audit team analyzes all types of healthcare claims ...

Happy birthday and happy work anniversary to all of our teammates who celebrated this month! We had 6 birthdays and 9 anniversaries this March.

A member was left with over $50k in medical bills after the removal of a brain malignancy, but our hardworking claim auditing team found them 92% savings.

Audit of surgical removal of brain malignancy results in 92% savings - ClaimDOC, LLC Comprehensive line-by-line claim auditing by healthcare professionals is used to uncover errors typically not caught. ClaimDOC publishes a sample of five recent client savings audit results bi-monthly. See the savings below and know that together we can make ...

How often do you read a post on Social Media that is misleading? This month ClaimDOC’s VP of Provider Relations and former hospital administrator, Brad Hansen, has taken issue with the fear tactics used in the benefits space regarding quality metrics.

Quality Metrics - Don’t Make Assumptions based on Headlines - ClaimDOC, LLC I recently came across a study dealing with “evidence-based medicine” in primary care (Ebell MH, Sokol R, Lee A, et al. How good is the evidence to support primary care practice? BMJ Evidence-Based Medicine 2017; 22:88-92). A quick ...

Call her the comeback kid! Congrats, Audi, on your historic 40-point game to rally Iowa State past Maryland Friday night. What an NCAA Tournament debut for our ClaimDOC brand ambassador! Keep proving them wrong and keep making Iowa proud!

Iowa State's Audi Crooks broke a remarkable record and drew praise from Aliyah Boston in her March Madness debut A player from the state of Iowa scored 40 points in the first round of the NCAA Tournament on Friday, and it wasn’t Caitlin Clark.

Congratulations to ClaimDOC brand ambassador Audi Crooks for being named as an honorable mention AP All-American! Audi is the first freshman in Iowa State women’s basketball program history to receive such an honor. Go, Audi! And if you missed last week’s announcement, we’ll be cheering on Audi during March Madness and throughout her basketball career.

Audi Crooks inks NIL deal with West Des Moines company The company's ad features the caption "Keep proving them wrong, Audi. Like we do."

Your clients deserve an open access plan that works in every market. With ClaimDOC's DirectAccess+, brokers can go into renewal meetings with confidence.