Advanced Claims Surveillance

At MedBen, real client savings means exploring every avenue available to keep your costs at their lowest.

In addition to our regular claims processing measures, every MedBen client claim – regardless of the size or type – undergoes thorough electronic surveillance using over 80,000 clinical algorithms to uncover claims with savings potential. This physician-driven analysis brings an unparalleled level of diligence to claims review, and is performed at no additional charge to our clients.

When the surveillance system flags a claim, a medical team further evaluates it to determine the appropriateness of charges and to see whether the course of treatment met established clinical guidelines. Charges are then adjusted according to industry standards.

On average, MedBen’s advanced claims review system saves 46% per selected claim. And that’s savings on top of plan provisions, network discounts and other cost containment methods.

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