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Claim Surveillance Software Continues to Deliver Savings for Clients

03/26/17

  10:07:00 pm, by MedBen5   , 200 words,  
Categories: Announcements, News, Cost savings

Claim Surveillance Software Continues to Deliver Savings for Clients

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MedBen takes no small measure of pride in its advanced claims surveillance system, and for good reason. In 2016, claims flagged by this system and reviewed by a team of medical specialists experienced an average cost reduction of 25%, after deductibles, coinsurance and PPO discounts. Overall, our clients saved an average of $9.75 per employee per month (PEPM), all thanks to this process.

Furthermore, looking at the PEPM amounts from 2012 to 2016, we found a five-year average client savings of $11.46 PEPM.

It's important to note a few things about our claims surveillance system. First, the savings it generates are in addition to what MedBen produces through plan design, network discounts, medical management, and other cost controls. Second, these savings are produced after network discounts are applied, but before claims are paid.

Finally, the surveillance review is preceded by our own in-house claims processing system. MedBen uses more than 400 auto-checks to detect billing errors and properly apply network discounts. In short, when it comes to your claims, we leave no stone unturned to ensure that clients pay only what is fair and necessary.

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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