Healthcare Claims
Benefits Guidance
Our Approach
Healthcare Data Analysis and Reporting
We provide healthcare-related data aggregation and analysis services for clients and compile comprehensive reporting packages.
Audit Rights Assessments
Offered free of charge to self-insured employers. We provide analysis of the terms of our client’s contract with the payer to determine the employer’s auditing rights.
Facility Contract Review and Testing
We are well versed in hospital contracts and can apply our database expertise to comprehensively test pricing and other contractual terms. These services are valuable to health systems that wish to verify accurate payment from payers
TPA Performance Analysis
For those brokers and employers who are not sure how well their payer is performing versus their competition, we offer evaluation, comparison and recommendation. We also provide pre-implementation evaluation once a selection of the payer is made. This provides peace of mind and allows for a more competitive environment for well educated clients. Our analysis is objective, accurate and reliable.
Healthcare Data Analysis and Reporting
We provide healthcare-related data aggregation and analysis services for clients and compile comprehensive reporting packages.
Audit Rights Assessments
Offered free of charge to self-insured employers. We provide analysis of the terms of our client’s contract with the payer to determine the employer’s auditing rights.
Facility Contract Review and Testing
We are well versed in hospital contracts and can apply our database expertise to comprehensively test pricing and other contractual terms. These services are valuable to health systems that wish to verify accurate payment from payers
Litigation Support
For any litigation proceedings in which claims data and analysis are involved, we can provide the necessary reporting and expertise for our clients to support their case. Clients often rely on us to analyze data to assist and support their arguments in litigation and arbitration. Our analysis is objective, accurate and reliable.
Why Healthcare Horizons
for Your Benefits Guidance?
Insight that Goes Beyond the Numbers
Healthcare Horizons benefits guidance solutions prioritize its long-term value to clients through ongoing support. We provide consultation, plan optimization recommendations, and free post-audit support that competitors don’t offer.
