Next Steps

Step 1. NDA (Non-Disclosure Agreement)

A non-disclosure agreement (NDA) is a legal contract between two or more parties that signifies a confidential relationship exists between them. The confidential relationship exists because the parties share information among themselves that should not be made available to any other parties outside of those involved, such as competitors or the general public

Step 3. The SA (Service Agreement)

A Service Agreement is a written document that describes the terms of a service provided by one party to another in exchange for compensation. This agreement details all terms and conditions of a Client’s engagement with ClaimReturn, Inc.

Step 2. The BAA (Business Associate Agreement I HIPAA)

With the continued growth of healthcare data and a higher degree of interchangeability between data systems, HIPAA covered entities will need to form partnerships with other organizations to ensure the security of their data assets. This partnership is known as business associate agreement (BAA). ClaimReturn utilizes a Microsoft based and HIPAA constrained BAA Agreement to make this process seamless.

 

MEDICAL CLAIMS ANALYSIS

MEDICAL CLAIMS ANALYSIS

ClaimReturn has built its reputation with our advanced claims auditing system. Our highly trained and experienced team is committed to prividing our clients with a best in the industry auditing and recovery process.

TRANSPARENCY & REPORTING

TRANSPARENCY & REPORTING

Using a cloud-based proprietary information system, ClaimReturn allows its clients to review the progress throughout the audit and recovery process.

ACCURACY & RECOVERY

ACCURACY & RECOVERY

ClaimReturn's goal is to provide 100% accuracy in the detection of improperly and overpaid medical claims and to recover the maximum owed return of revenu.

 

MEDICAL CLAIMS ANALYSIS

 
 

 

 
 

”Testimonials”

ClaimReturn is a Client First Company

“Very good auditing of health claims and our processing errors. Good details. Excellent follow-through. Great Recoveries.”

 

“We have used ClaimReturn on two audits and we are scheduling our next with them in August. Friendly, knowledgeable, professional & effective.”

 

"You and your team provided just what we needed. We had previously worked with others who just did not deliver. The ClaimReturn team identified our errors and efficiently processed revised EOB’s and made revenue happen."

 

"Identified $995,000 of claims paid in excess of plan/ carrier benefit limits over a period of 2 years. The residual savings exceeded $2mm as plan adjustments from the carrier were implemented."

 

"Identified and collected $883,000 for Multiple Bilateral Procedures (facility) along with Multiple Bilateral Surgical Reductions (professional) upon the review of 24 months of archived data. The unrealized profits were recovered and returned to the Client."

 

"Identified $2,866,370 unbundled Duplicate Paid Claim payments. All duplicate discoveries were as part of the ClaimReturn Buisness Logic review offered as a no cost feature of its services offered to the marketplace."

 

"ClaimReturn’s Staff is easy to work with and extremely knowledgeable in both Analytics and Recovery. Process took very little of my staff time."

 

"ClaimReturn is well positioned to provide a turn key type of application. Passionate about my business, and and advocate for his clients."

 

"Exceptional Customer Service! Errors were found at a rate higher than expected. Training for our claims management was robust."

 

"We have used other claim auditing services and now we will only use ClaimReturn."

 
 
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