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…
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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…
Egregious Physician and FSED Charges Raise Alarms
Freestanding emergency departments (FSEDs) have evolved from a niche access point in healthcare to a fast-growing sector. They operate in at least 32 states…
Audit Reduces Member’s Cost by $9K, Saves Plan Nearly $31K
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…
Audit Saves Plan Over $32K After Member’s Heart Attack
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…
Same Colonoscopy, Different Facilities, Wildly Different Costs
More than 16 million colonoscopies are performed in the United States each year. A common gastrointestinal procedure, colonoscopies are routinely performed as a screening for…
Member Saves $10K After Complicated Childbirth
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…
Member Saves Over $23K While Audit Reduces Plan Cost by Nearly $117K
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…
Burden of Healthcare Fraud and Abuse Impacts Everyone
Program integrity strategies focus on pricing and reimbursing the correct amount to legitimate providers and suppliers for covered services — reasonable and necessary services provided…