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ClaimAssist®

ClaimAssist® provides insurance companies based outside the United States with comprehensive review and management of inpatient and outpatient treatment, hospital admissions, pre-certifications and discharge planning.

ClaimAssist® by Assist America is your premier partner for comprehensive and personalized global medical claims management. Offering medical claims review, provider relationship management and payment solutions, along with cost-containment expertise. Our goal is the same as that of the patients and our insurance clients: the shortest path possible to the best possible outcome—no unnecessary procedures, no lapses in care and no shortsighted treatments that delay full recovery.

Our team oversees medical cases from start to finish, ensuring that patients receive optimal care for their particular illness or injury. We also negotiate fees prior to treatment and before claims have been paid to make sure necessary costs are in keeping with our clients’ policies.

For more information, email us at [email protected].

• Offers concurrent and retrospective review services
• Utilizes a broad group of international providers and facilities
• Available for emergency and non-emergency cases
• Offers members around-the-clock assistance through Assist America’s multilingual Operations Center, available 24 hours a day, 7 days a week, 365 days a year

Verify member eligibility

Verify member eligibility information with the treating facility

Estimates

Provide estimates for cost of treatment

Coordination of records

Coordination of records & invoices for client claims

Coordinate direct billing & payment

Coordinate direct billing & payment with providers

Review Claims

Review claims for service duplication & reasonable pricing

Negotiate

Negotiate medical claims discounts on patient behalf