HR Best Practices is America’s leading healthcare eligibility technology and auditing specialist. Our proprietary algorithms are designed to find costly eligibility-based financial leakage across 100% of a client’s medical and prescription drug claims. Our turnkey solution has helped numerous clients since 2001.
Eligibility leakage is a “dirty little secret” that costs plans approximately 5% of their health care spend. The driving factor behind this follows: medical and prescription drug claims are not reconciled to each respective member’s eligibility 100% of the time.
We have identified, validated and quantified eligibility leakage in every client. Why does this leakage really exist? It’s simple, everybody thinks somebody else or a piece of software is handling this – the system is broken. The reality is up until now, administrators haven’t had the requisite cost-effective eligibility technology to identify and prevent these costly overruns.
Given the power of our technology, we are prepared to offer our clients ROI guarantees or pay-for-performance contract terms. Let us show you how our turnkey solution can make you a cost containment hero! Contact us now to arrange for a demo.
