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MedBen Claims Surveillance Continues to Save Clients Money

01/14/18

  05:12:00 pm, by MedBen5   , 187 words,  
Categories: Announcements, Cost savings, Third party administration, Claims management

MedBen Claims Surveillance Continues to Save Clients Money

magnified dollar

MedBen's claims surveillance system, which screens and selects claims for specialist review, saved clients, on average, an additional 38% per selected claim in 2017... savings produced after network discounts are applied, but before claims are paid.

Our advanced surveillance technique takes claims processing to another level. This system works in tandem with our in-house processing, using physician-managed algorithms to find claims that may not meet medical necessity or appropriateness standards. If a claim is flagged, board-certified medical specialists further review the claim (with the client's approval) to find possible resolutions.

In dollars and cents, this added layer of claims analysis saved clients an average of $7.57 per employee per month (PEPM) in 2017. Furthermore, looking at the PEPM amounts from 2013 to 2016 reveals a five-year average client savings of $10.09 PEPM.

It should be noted that these savings come on top of savings derived from plan provisions, network discounts, and medical management. Taken together, these cost controls and other claim management strategies help MedBen clients remain under national plan spending trends.

Learn more about claims surveillance and other MedBen saving solutions by contacting Vice President of Sales & Marketing Brian Fargus at bfargus@medben.com.

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