Products and Services:

 

  • Financial Assessment and Recovery: 
    • Innovative cost reduction system utilizing advanced technologies and traditional edits
    • Proprietary Assessment identifies  overpayments based on selected criteria including, payment terms,  medical edits, eligibility, and more
    • Collaborative effort with expert medical coding recovery analysts
    • Recovery Web Portal and Secure Bank Lock Box for EFT
  • Claim Negotiations: 
    • Specialized High Level Negotiations with Signed Agreement for Each Claim
    • Electronic Claim Data Migration Process Integrates with TPA to Facilitate Claim Reduction
    • Protects Plan Assets and Reduces Loss Ratios
  • Pre-Certification and Bill Review: 
    • Monitor and Evaluate the Course of Treatment
    • Insure Medical Services are Performed at the Appropriate Level of Care
    • Determination of Medical Necessity and Appropriate Reimbursement
  • Analytical Tools: 
    • Optimize Health Information through Claims Data Analysis
    • Identify Cost Drivers and make Informed Forecasts of Future Healthcare Costs with Evidence Based Predictive Modeling
    • Standard and Customized Reports available through Secure Web Portal
    • Improve Patient Health, Reduce Medical Cost and Ensure Quality Care
  • Diagnostic and Rx Benefit Management: 
    • DBM Generates nearly 30% savings compared with PPO Rates at 3,900 Centers Nationwide
    • Provides Subscribers with Medical Concierge Services and Lower Out of Pocket Costs for Diagnostic Procedures
    • Innovative Rx Claims Replay and Real Time Rx Audit Program
    • Renal Dialysis Solutions to Reduce Self Funded Plan Liability
  • Wellness, Prevention and Disease Management: 
    • Health and Wellness, Employee Assistance and Work/Life Balance in an interactive platform
    • Internet delivered tools that assist individuals for all life needs through an innovative question and answer format
    • Access to Board Certified Physicians, Pharmacists, Dentists, Nurses, Counselors, Nutritionists and EAP program
    • Reduced healthcare costs through lower absenteeism, reduced employee stress, high intensity coaching and biometric screening
  • BidRx's patented Prescription Savings System: 
    • Instant access to hundreds of pharmacy's pricing across the country
    • ONLY quality medications made in the USA
    • Online ordering and medications shipped in most cases free, right to your door
    • BidRx is the only Prescription Savings System with the potential to save you up to 78% every month on your medications 
    • To find out more and get started on saving money today click   here