Fraud, abuse, coding errors, all lead to higher costs of healthcare. All the large health plans use technology to assure proper for payment for services and products delivered to their subscribers – medical claims payment integrity.
LaborHealthworks offers superior payment integrity.
We help health plans save 5-9% on medical claims.
Services
Concurrent Review
Post-adjudication medical claims are reviewed prior to payment. Savings across the entire medical claims cost average 5-9%.
Out of Network Claims
We can review only out of network claims. While a smaller portion of the entire medical cost, out of network claims can be very costly for a health plan.
Fees
There are no up-front fees, implementation fees, or monthly minimums. Their standard fee structure is a percent of the savings they recommend. No savings, no payment.
Results
Health plans see savings, on average, of 5-9% of the allowed amount for medical claims. Individual results will, of course, vary depending on a number of factors. But regardless of the savings, you only pay a percent of the recommended savings.
No savings, no payment
No up-front fees, implementation fees, or monthly minimums – you only pay a percent of savings.