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Claims Surveillance System Savings Near $10 Million

07/31/09

  12:54:09 pm, by MedBen5   , 134 words,  
Categories: Announcements, Discounts, Health Plan Management

Claims Surveillance System Savings Near $10 Million

Dr. Luke Burchard

At a MedBen health plan language seminar on July 29, AWAC Vice President of Cost Containment Dr. Luke Burchard announced that since implementing new claims surveillance software in September 2007, MedBen clients have saved $9.97 million.

“That means clients are saving $100,000 every week through MedBen,” Dr. Burchard said. The savings he referenced are on top of network discounts, plan provisions, medical management and other cost controls

The proprietary surveillance software thoroughly screens claims before they are paid, using 80,000 algorithms to detect occurrences of potentially large employer loss as well as inappropriate billing and possible fraud. This service is provided at no fee to MedBen customers.

When the system flags a claim, the AWAC medical team works physician-to-physician to determine potential savings, from both a clinical and cost perspective. The process saves clients, on average, 43% per selected claim.

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