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ClaimDOC

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ClaimDOC Products (2)

   
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Reference Based Pricing (RBP)

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Stop Loss Coverage

Product Description

ClaimDOC is an Audit and Member Advocacy firm. There is way too much inappropriate billing in Billed Charges and the Audit is key to removing that fat. Then we cover the member to the limits of the benefit plan. We support the member and the plan for the life of... Show More

About this product

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ClaimDOC is an Audit and Member Advocacy firm. There is way too much inappropriate billing in Billed Charges and the Audit is key to removing that fat. Then we cover the member to the limits of the benefit plan. We support the member and the plan for the life of the claim, even if the case terminates. We are a Co-Fiduciary which is very rare in the RBP space but a critical box to check if going this direction. We outreach to every provider of every member up front and ongoing and support all balance bills so no member is left confused by what and how to manage feedback from providers.

ClaimDOC is a complete RBP approach using partners in risk, quality, claims payment and Rx, along with others, to make a better solution that is affordable and fair.

Min. Group Size

100 eligible

Lives Serviced

300,000

Average Cost

Average Cost is Locked

16 RFI Questions RFI questions

RFI questions number is Locked

13 Specific Questions Specific Questions tooltip

Lock

Product Features

✓

Flexible reimbursement and contracts

✓

RBP members flexibility

✓

Health plans integration

✓

Service cost comparison

✓

Plan document preparation

✓

Medical management partners

Show All Features

Product Features

×
✓

Flexible reimbursement and contracts

✓

RBP members flexibility

✓

Health plans integration

✓

Service cost comparison

✓

Plan document preparation

✓

Medical management partners

✓

RBP brokers' access

✓

RBP for professional/physician claims

✓

Clinical and benefits advocacy

✓

Member advocacy and guidance

✓

Enrolling assistance

✓

Personal support

✓

RBP education plan

Not Provided.

ClaimDOC Media

ClaimDOC video/presentation/materials ClaimDOC video/presentation/materials
ClaimDOC video/presentation/materials Play
ClaimDOC video/presentation/materials Play
ClaimDOC video/presentation/materials Play
ClaimDOC video/presentation/materials Play
ClaimDOC video/presentation/materials Play

ClaimDOC Info

Founded:

2013

Funding Summary:

Not Provided

Location:

West Des Moines, Iowa

Links:

Employees:

150
ClaimDOC is a national medical claim auditing and member advocacy company driven to help employers deliver a successful and sustainable health plan for their employees.

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