By not performing coordination of benefits (COB) and data mining on their pharmacy claims, healthcare payors may be missing a significant opportunity to recoup overpayments.
Coordination of Benefits (COB) review for healthcare payors involves more investigation than simply validating primacy for other coverage. A significant amount of detective work is needed to drive valid and actionable COB recoveries, especially when patients are newborns.
While healthcare spending continues to soar, impacting all players in the healthcare ecosystem, Claritev understands it will take a combination of forces chipping away at the margins to make healthcare more affordable. Here are five trends we’re watching in 2022 with the potential to lower costs, improve outcomes, and make our health system more sustainable over time.
The old tried and true approach to coordination of benefits isn’t enough anymore. Claritev’s Coordination of Benefits (COB) solution blends the right people, processes, and tech, allowing our team and clients to work smarter rather than harder.
Claritev has built a solid reputation for providing value to health plans by helping to solve their payment integrity challenges. We owe our success to our exceptional people, culture of accountability, and client-centric approach.
Traditional Coordination of Benefits (COB) processes are manual and error-prone. Learn how new technologies can help your plan transition from cost recovery to cost avoidance.
Administrative complexity continues to drive the high level of waste in healthcare threatening the viability of organizations throughout the healthcare ecosystem. With a holistic, connected payment integrity strategy built around these three tenets, your organization can improve operational efficiencies and achieve financial integrity.
Are member eligibility errors impacting your payment integrity approach? This infographic identifies the top three causes of eligibility errors and illustrates what they might be costing your plan.
