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