“Claims Audit Tool has shown itself to be a very useful tool in providing reports containing the pertinent information we need to audit claims for accuracy, financial responsibility and contractual appropriateness. I really do think it is the most useful application we currently have in our department.”
- Karen McQuerrey, Director, Claims Auditing
St Joseph Heritage Healthcare
“A recent conference call with health plan presidents sang the praises of our Claims Department’s recovery effort, which collected almost $13 million dollars between December 2007 and December 2008. . . . The director of claims services credits the recovery team and working with a vendor (L5 Healthcare Solutions, Inc.) to develop the recovery database at the heart of the effort.”
- Except from Medicaid/Medicare health plan’s monthly corporate newsletter. Client is publically held and has over 1,500,000 members.