800-646-9987
800-646-9987

Identifying the Unexplainable in Health Insurance Claims

man scratching head about unexplainable error

There are plenty of things to make us go “hmmm,” but health insurance payments shouldn’t be one of them! Our job, every day, is to identify mistakes in healthcare claims payments and occasionally we run across a case where there just doesn’t seem to be a logical explanation for an overpayment. In 99% of these … Read more

Systemic Errors Multiply Faster than Rabbits

like many rabbits in a forest, systemic errors can multiply quickly

Have you ever had rabbits in your yard? One or two may seem harmless, but left unchecked, they will quickly multiply and destroy your landscaping, garden and grass, leaving you with a big bill to fix the mess. Systemic errors in a self-funded health insurance plan work the same way. One error that costs your company … Read more

How to SAVE Money While on Vacation

save money so you can go on vacation

“Forgetting” a $20 bill in your winter coat pocket is not an effective way to save money! A wiser approach is to proactively fund your goals. And the same is true for your self-funded healthcare plans. Hoping money simply appears doesn’t cut it! To find ways to expand benefits to your employees, you must prioritize … Read more

Spring Cleaning Your Health Plan is Especially Important This Year

Spring cleaning is important at home, in the yard and in a health plan

When we think of spring cleaning, we think of sweeping under the rugs, airing out the house, and washing windows. Doing these annual tasks not only helps us enjoy the warmer and sunnier weather, but it also helps clear out stale and musty air – which is good for our health. You know what else … Read more

Your Wake-Up Call

Ticking Clock in a field

It is important that human resources leadership and corporate counsels be mindful of the growing efforts by disgruntled employees and employee advocacy groups to utilize ERISA regulations to initiate class-action lawsuits related to alleged failures to appropriately manage medical costs.  Motivated by the escalating impact on employees and their families from annual increases in health … Read more

Relying on Luck Can Cost a Self-Funded Company Millions

money in a green hat

It’s fun to search for four-leaf clovers in the hopes of finding unexpected luck. But if you rely on wishes and leprechauns to keep self-funded healthcare expenses in check, your luck is going to run out. Each year businesses lose millions of dollars from incorrectly paid medical claims. Even the best benefits administrators don’t always … Read more

Heart Care Funding is Not Just for February

heart care funding

February is Heart Health Awareness month, but heart care should be a focus every month! Heart disease is the leading cause of death in America according to the Centers for Disease Control. Its impact is costly to all Americans and businesses and deserves appropriate funding.   Some quick facts: Heart disease is the leading cause of death for … Read more

“Winner” of Our Lost Benjamins Award and how to avoid being on the list

The Winner is – Clients that Found Benjamins! Our new biggest loser competition – the Lost Benjamins Award – hit the ground running in 2022. Drum roll please…our 2022 winner is Man Glows After Hundreds of X-Rays on Same Day. It seems everyone agrees that not noticing a bill for 850 x-rays on the same … Read more

End Each Year with Big Savings on Healthcare Claims

insurance savings with medical claims audits

Finding Savings for Your Bottom Line Has No Season While the end of the year is the time many people evaluate their personal and professional finances, saving money isn’t limited to a calendar date. However, particularly in business, end-of-year financial reviews set the stage for the upcoming budget process. If your company is self-insured, reviewing … Read more

Why Your Budget Needs to Include Audits

budget planning

Have you ever gotten a notice saying that you might have unclaimed money from a refund, settlement, or inheritance? What was your first reaction? Most people think about what they would do with this “surprise” windfall. But guess what? It was always your money! You just didn’t know it was missing. It’s time to put … Read more