Subrogation Companies

Subrogation recovery and audit solutions involve services aimed at recovering funds from insurance companies or other entities after they have paid out claims to their policyholders. These solutions typically include identifying potential recovery opportunities, investigating liability, negotiating with responsible parties, and auditing claims to ensure accuracy and compliance with policies and regulations. The goal is to maximize recoveries and improve overall claims management efficiency.
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Cotiviti

Cotiviti

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Founded

2004

Employees

8,573

Funding Summary

Not Provided

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About Cotiviti

Cotiviti is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clients uncover new opportunities to unlock value. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, and network performance management programs. The company also supports the retail industry with data management and audit services that improve business outcomes. Show More
Intellivo

Intellivo

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Vengroff Williams

Vengroff Williams

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Min. Group Size

5,000 eligible

Lives Serviced

2,500,000

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Vengroff, Williams Inc. provides medical subrogation identification and recovery services for companies with self-funded ERISA medical plans. With 25 years of experience, they consistently deliver top-tier service and substantial recoveries, helping companies reduce... Show More
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Advanced Medical Pricing Solutions (AMPS)

Advanced Medical Pricing Solutions (AMPS)

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Min. Group Size

1,000 eligible

Lives Serviced

500,000

Average Cost

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AMPS' ClaimInsight program can be applied on a Retrospective Basis as well as in a Pre-Paid environment during the adjudication and payment process - AMPS' Retrospective Review and Recovery Program. ClaimInsight delivers payment... Show More
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The Rawlings Group

The Rawlings Group

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Min. Group Size

50,000 eligible

Lives Serviced

60

Average Cost

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Rawlings has increased identifications and recoveries for every new client as compared to the previous vendor program or internal unit. Why? Because our expertise, innovation, quality, and service combine to deliver the best... Show More
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Optum

Optum

3.9 (14)
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Founded

1985

Employees

Funding Summary

None

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About Optum

Optum is a leading health services and innovation company on a mission to improve the lives and well-being of the people we serve. We combine technology, data and clinical expertise to improve the delivery, quality and efficiency of our population health and total wellbeing solutions. We are here to help employees and their families tackle whatever life sends their way and offer consistent, sustainable support and performance to meet the needs of the new diverse, tech-savvy, global workforce. We engage individuals on their own terms with the support and guidance they need to remove obstacles and accomplish what’s most important... Show More
Decisely

Decisely

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Founded

2015

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About Decisely

Decisely is reimagining the way brokers and small businesses work together. The Decisely solution provides the best combination of benefits, HR resources, and technology to support small businesses.

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J. Graham Inc.

J. Graham Inc.

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Founded

2014

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About J. Graham Inc.

J. Graham Inc. was founded by experienced claims audit personnel with an exceptional track record of producing results on claims audits for some of the largest employers in the country. Our firm is built on professionals with experience auditing data sets as large as $5 billion and as small as $3 million using various audit approaches including random sample, targeted, and comprehensive. Our staff has audited every major national carrier with ASO business including Aetna, Anthem, Cigna, Humana, Meritain, UMR, UnitedHealthcare and practically every BCBS plan in the country.

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McLellan Consulting Services

McLellan Consulting Services

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About McLellan Consulting Services

McLellan Consulting Services (MCS) offers all stakeholders in the self-insured health benefits market high quality consulting services. MCS is based in Tampa Bay, Florida and has provided consulting to well over 300 clients in its 30 plus years in business. Clients have included Plan Sponsors, Third-Party Administrators (TPAs), Stop Loss Carriers, Captives, Health Care entities and specialty vendors like PPOs, population health management companies, data warehouse and analytics companies and pharmacy benefit managers.

Glenn McLellan has delivered well in excess of 200 public speeches relating to all areas of self-funded health benefits in the last 10 years,... Show More
Quantify Health

Quantify Health

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About Quantify Health

Quantify has two offerings in the healthcare space: Quantify Health and Quantify Care.

Quantify Health will lower the cost of healthcare by at least $150 per member per year for health plans, stop loss carriers, reinsurers, and self-funded employers through a forensic review of hospital bills

Quantify Care offers a revolutionary breast cancer early detection technology that is compact, accurate, convenient, and painless

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