One of our clients had a member arrive at the emergency room with a potential shoulder fracture; the patient was provided an X-ray examination and an arm sling. The hospital incorrectly billed for 1,400 arm slings, and the claim administrator paid the claim at $150,000. Healthcare Horizons identified the error, and once the claim was corrected, the payment was reduced to $1,000, resulting in a recovery of $149,000 for the client.
