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Our Story

  |  Our Story
We deliver at no cost to our clients
ClaimReturn  drives the cost of healthcare down.

ClaimReturn is the game changer. A payment integrity solution for payers,that want to maximize over-payment recovery, reduce improper payment waste, and promote post-payment medical claims review satisfaction.

ClaimReturn has found that the cost of medical services to companies is high partly due to improperly paid medical claims. ClaimReturn works with providers, carriers, and municipalities to restore medical claims payments and pricing integrity. It is just that simple.
ClaimReturn delivers the nation’s most experienced team of industry professionals, partnering with employers, third party administrators, medical providers, health systems, and insurance carriers. We use a uniquely collaborative approach using today’s most advanced technologies to review plans, payments, protocols, policies, and procedures for compliance with state and federal laws, current industry standards and existing contractual agreements.
ClaimReturn identifies improper payments and recovers dollars lost due to errors in benefit claims administration, provider billing, application of network fee schedules, industry payment guidelines, duplicate payments and much more.
ClaimReturn provides the assistance you need to improve claims payment and review quality, reduce costs, impact policy, and maintain pricing integrity. Ask us about ClaimIQ Duplicate check and niche logic. We find your money by using contextual predictive analytics with decision supported algorithms.

ClaimReturn thrives on what we find!

ClaimReturn is your ally to reduce your medical costs, improve pricing integrity and recover the funds that need not be paid. Let us show you how to reduce your claims payments and reduce exposure to claims being paid twice, or outside of government standard.