Claimable: Fighting Denials With AI
Roughly one in five medical claims is denied, yet only a fraction of patients ever appeal. Denials aren’t just an administrative headache. They’re becoming…
Resources
Complaining Is Easy, Winning Is Hard
There is a lot of noise in our industry right now and more frustration than ever before with traditional network solutions. Industry voices and publications…
DirectAccess+ Cuts the Cost of Critical NICU Care
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…
Claimable: Taking on the Confusing World of Denials
Medical claim denials are necessary to protect plan dollars from abuse, but for patients they can mean delayed treatment, financial hardship and life-altering uncertainty.
Billions Lost as Healthcare Fraud and Abuse Escalate
The U.S. Department of Justice estimates that healthcare fraud, waste and abuse cost the U.S. as much as $100 billion each year. Because annual healthcare…
Member Saves Nearly $17K After 21 Days in Hospital
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…
From Competitor to Colleague: How Is ClaimDOC Different?
One of the hardest things for brokers and clients to judge is how their experience with ClaimDOC stacks up against other reference-based pricing programs. Without…
Health Insurance Is a Mess; How’d We Get Here? – Part 2
Can the problems with health insurance actually be fixed? In Part 2 of this ClaimTalk conversation, CEO Ben Krambeck, Vice President of Provider Relations…
Member Saves Nearly $6,000 on Appendicitis Treatment
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…