Comprehensive Claims Management Solutions
There is a way to contain healthcare costs from claims in the United States without sacrificing the best quality care for your participants! ClaimAssist® offers foreign health insurance companies effective managed care solutions.
Through effective case management, ClaimAssist increases overall customer satisfaction and reduces the number and average cost of claims. Our services are designed to benefit the patient as well as the medical insurance company.
Pre-certification, Continued Stay, Discharge Review
ClaimAssist oversees medical cases from start to finish. Appropriately licensed doctors and nurses perform reviews involving all medical data.
These reviews enable them to make informed and customized decisions about each case in the best interest of the patient’s recovery and within the scope of his/her medical coverage. This unique approach promotes speedy and complete patient recovery while avoiding future claims that may result from relapse. In short, ClaimAssist brings medical insurance companies the reassurance that all medical actions taken are appropriate and necessary.
Prospective and Retrospective Claims Negotiation
ClaimAssist can negotiate claims prospectively by reviewing data for services to be rendered and arranging discounted fees, in writing, with the corresponding healthcare provider. After a claim has been issued, and prior to payment, ClaimAssist works to rigorously negotiate out-of- network claims to reflect network-type discounts. There are no fees for prospective or retrospective claims negotiation unless ClaimAssist brings you savings!
Comprehensive Medical Case Management:
Increase savings while emphasizing quality patient care by:
- Admission Review & Pre-certification
- Discharge Planning
- Retrospective Review
- Claims negotiation
- Ensuring appropriate use of health care resources
- Optimizing benefit allocations
- Promoting informed decision making by patient & payer
- Maximizing recovery
- Minimizing complications
- Minimizing future claim
For more information contact: 609-921-0868 or firstname.lastname@example.org
The Assist America services described in this website are only intended to serve as a general overview of the emergency travel assistance services available. The services available to you through your plan may vary from what is listed and described in this website. For a complete description of the services that are provided to you by your plan, please consult your service certificate provided by your plan administrator and/or the fulfillment material provided by Assist America.