Case Study

Advanced analysis and collaboration drives >$1 million overpayment recovery success for Health Partners Plans

To recover overpayments from providers, health plans must perform advanced statistical analysis and extensive medical record review in order to confidently request reimbursement with any likelihood of success. While technology can identify potential instances of inappropriate billing, actually seeing an investigation through to completion and recovery requires extensive statistical analysis, teamwork, and communication.

Download our case study to learn how Health Partners Plans, serving more than 250,000 members in Pennsylvania, successfully recovered more than $1 million in overpayments related to upcoding from a provider group.
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Download the case study