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MedBill Management

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MedBill Management Products (3)

   
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Dependent Eligibility Service

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Claims Analytics

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Pharmacy Benefit Auditor

Product Description

>>>MedBill Management is the trusted partner of small and mid-sized plans committed to eliminating ineligible dependents. Our unique “high touch” approach is a perfect fit for employers who are sensitive to employee relations. >>>We built our outstanding reputation on our high touch “Compliance with Compassion” approach. We don’t use robotic... Show More

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>>>MedBill Management is the trusted partner of small and mid-sized plans committed to eliminating ineligible dependents. Our unique “high touch” approach is a perfect fit for employers who are sensitive to employee relations. >>>We built our outstanding reputation on our high touch “Compliance with Compassion” approach. We don’t use robotic answering systems and automated, impersonal outgoing calls. Our customer service team takes the time to work with employees who have unusual circumstances to help them identify, and obtain, acceptable documentation. >>>Another key success factor is that we have the highest employee response rates in the industry - 99.3% across all clients. When a MedBill Management project ends there are very few non-respondents. Our near perfect response rate is the result of customized communications, unlimited outbound calls and extensive follow-up with employees to obtain the necessary dependent-related documentation. >>>Other audit firms routinely end projects with 5-20% non-respondents. This high level of non-response leads to disgruntled employees, when their dependents’ coverage is terminated, and it creates more work for HR/Benefits teams handling time-consuming appeals/reinstatements. >>>Family structures have become increasingly complicated due to divorces, stepchildren, guardianships, domestic partnerships, etc. Dependent Eligibility Verification is critical for managing compliance and controlling health plan costs.

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Dependent eligibility verification services

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Dependent eligibility audit services

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MedBill Management Info

Founded:

2006

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MedBill Management specializes in post-payment health plan claims analysis and enrollment auditing. We are constantly striving to find new ways to help health plans operate more efficiently and effectively. Since no two audits are alike, we take the time to... Show More

About this vendor

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MedBill Management specializes in post-payment health plan claims analysis and enrollment auditing. We are constantly striving to find new ways to help health plans operate more efficiently and effectively. Since no two audits are alike, we take the time to understand the client’s priorities and then develop a communication strategy and customized materials that fit each client’s culture.

Every health plan is paying claims for ineligible dependents. Based on MedBill Management’s experience, approximately 2%-6% of dependents are removed from coverage for a variety of reasons – divorces, non-biological children, domestic partners, etc. MedBill Management is so confident in the results that we will guarantee that the estimated savings from eliminating dependents, who have not met the requirements for participation in the plan, will exceed the project fees.

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