Do you know that ineligible members are receiving costly benefits, but don’t neither have the data nor the tools to identify elusive suspects?
Our eligibility cost recovery module provides plans with the ability to recapture overpayments before it’s too late. Our clients refer to our system as “the one-button” solution. Why? Because HR Best Practices stages your data and pre-populates queries specific to your plan.
The user simply presses one button and multiple eligibility queries (about 20) are executed at once. Suspects are easily exported to Excel for analysis and submission to the TPA or Payor for recovery.
