MEDICAL CLAIMS ANALYSIS

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

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

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 revenue.

We offer a no risk model to our clients.

No burden – Not in Team, Provider or Carrier.

No burden – Not in Team, Provider or Carrier.
Our team is innovative, creative and fun to work with.
It is just that simple! 

I invite you to see the benefits of ClaimReturn.

Be prepared to be amazed.

Sincerely,

Kevin Tomkiel, President

info@claimreturn.com 

The Cost

Containment

Solution

Recovering Overpayments

Due to Medical Billing Errors

Testimonials
ClaimReturn is a Client First Company

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

   

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- CRO (National Hospital Group)

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

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Janny Sandra- AVP National Benefits Company for (School District)

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.

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Tom Anderson- Trust Manager (Third Party Administrator)

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.

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Janny SandraNational Taft Hartley Fund

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.

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Janny SandraMunicipality

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.

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Janny SandraFortune 500 Company

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

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Janny Sandra- Trustee (Taft Hartley Fund)

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

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Janny Sandra- CEO (Publicly Traded Corporation)

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

         

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Janny Sandra- Claims Manager (Third Party Administrator)

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

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Janny Sandra- Employee Benefits Manager (Municipality)

Our Wheel-house

Constantly exceeding our Client’s expectation

  • Post-payment medical claims review & recovery
  • Data competent predictive logic facility
  • Client data and financial security
  • Client service focused