Healthcare Claims Audits
for Self-Insured Employers

IT’S WHAT WE DO.

Healthcare Horizons, LLC is an industry-leader in healthcare claims auditing for self-insured employers. Our clients include companies at the very top of the Fortune 500. We utilize data analytics, clinical expertise, and proprietary methodologies to test claims payment accuracy of third-party administrators (TPA). Our goal is to ensure appropriate administration of the employers’ healthcare plans and to identify any recoverable overpayments to provide a positive return on investment for our clients.

Our 100% Difference
FEATURED ARTICLE Fell the love surrounded by hearts Feb 2, 2025

Feel the Love with Medical Claims Audits

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Let Us Show You Some Love!

FEATURED RESOURCEJan 17, 2025

Top Audit Findings of 2024: Significant Discoveries and Their Impact

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Help is on the Horizon

Audit Services

We offer a comprehensive array of healthcare claims auditing, analysis and reporting services for some of the world’s largest self-insured employers, involving all national and most regional payers.

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Air ambulance patient

Out-of-Network Fee Negotiation

We negotiate fees from out-of-network providers, like air ambulances, to reduce or eliminate "surprise bills" and employee balance billing.

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Additional Services

We offer services related to claims audits, employing the same standards of accuracy and excellence that make our comprehensive audits a success.

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