A MedBen client realized an overall savings of 62% through repricing, forensic claims review, and provider negotiation.
The client in question received a claim for IV infusion to a member with iron deficiency. After the PPO discount, MedBen saw an opportunity to further reduce costs and conducted negotiations with the provider, resulting in even greater savings.
Technology is an important part of MedBen’s forensic claims review, but it’s our talented people that really make the difference. While we use an advanced surveillance system to flag claims with loss potential, we also rely on our team of claim review experts to spot savings opportunities, and board-certified physician specialists from all areas of medicine who work to correct disparities.
Moreover, the savings you get from clinically reviewed claims are over and above any PPO discounts you receive. And we do all this before you pay the claim, so you don’t have to recoup expenses later.
MedBen ensures that you pay the right claim at the right cost. Call us today at 888-627-8683 to learn more.