Cost Containment & Claims Integrity
Independent claims review, stop-loss support and pharmacy spend analysis that helps self-funded employers and their advisors find leakage before it compounds.
- Self-insured employer claims auditing and recovery support
- Stop-loss claim preparation and submission packages
- Pharmacy benefits audit and formulary-spend analysis
- Reference-based pricing (RBP) claim repricing support
- Workers' compensation billing and claims follow-up
