cost avoidance Tag

10 Oct How Rx Claims Trigger Cost Avoidance

When ProTPL discovers other health insurance, you can reverse the latest claim and ensure that future claims, whether pharmacy or medical, aren’t paid in error. Discovering other health insurance fast, triggered by Pharmacy claims, allows you to intercept the medical claims, such as office or...

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20 Jul Cost Avoidance and Recovery

Payer of last resort providers are challenged with the difficult task of recovering payments when primary coverage information is not presented by the recipient at the time services are rendered. For a multitude of reasons, many recipients do not share other coverage information or are...

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