Oncology claims settlement

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Information about Oncology claims settlement

Published on March 6, 2014

Author: ScottFuqua

Source: slideshare.net

Oncology Claims Settlement According to published sources, 1% of covered plan members may already have or may have been diagnosed with cancer at any given time; which may account for more than 15% of total plan costs. Just one patient’s medical claims improperly managed can easily cause significant losses to a self-funded health plan, insurance carrier or underwriting stop-loss carrier. Relevant Healthcare helps medical claim payers effectively and practically manage all types of cancer medical claims including:     In-patient admissions Out-patient and infusion center treatments Physician charges Pharmaceutical claims Our experienced team of staff specialists includes a registered pharmacist, an RN, and certified coders. Relevant can implement various models to suit the needs of each individual client: Pre-Authorization Program, Fair and Appropriate UCR Re-pricing with Appeal Support, Medicare Plus re-pricing, and Negotiated Settlement Agreements. (Every successful negotiated claim settlement includes a signed release from the provider. 60% of the time, we successfully settle In-Network claims for an additional discount below the PPO.) There is no cost for this service. We charge a percentage of savings fee only when we are successful. Quick Stats Average Savings = $5,650 per claim Average Savings = 24.6% per claim For an assessment of your current outstanding oncology claim or for more information, please contact us at (855) 328-5100 Relevant Healthcare Cost Containment Phone (855) 328-5100 FAX (708) 390-3891 www.relevanthealthcare.com

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