End-Stage Renal Disease Premium Restoration
Work to recover the ESRD premiums your plan has earned, with accurate identification and transparent restoration.
Premium Restoration
Revenue Protection
Potentially recover underpaid premiums and avoid missing out on millions of additional premium dollars.
Members with end-stage renal disease, or ESRD, are some of the most complex and costly in a Medicare Advantage population. However, many organizations struggle with incomplete or inaccurate ESRD documentation.
Claritev can bring clarity and transparency to ESRD confusion, with an ESRD Premium Restoration solution that can uncover missed opportunities by finding members with missing or incorrect ESRD status.
This can result in potentially restored premium dollars, which can translate into more affordable healthcare.
Our ESRD Premium Restoration solution uses advanced analytics and trusted relationships with CMS and care facilities to:
- Validate data
- Close documentation gaps
- Support accurate premium reconciliation
Engaging insights.
New ideas, deep experience, and fresh perspectives for the healthcare ecosystem.
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How can Claritev help you recover underpaid premiums from ESRD members?
Learn how Claritev can help you take control of your payment accuracy and recover lost premiums.