Overcharging - Fraud committed by hospitals, plan administrators, adjudication vendors, Networks, Insurance Companies, Pharmacy Benefit Managers and sometimes Brokers. This is a "Healthcare Business as Usual" tactic that has been used to "Fraudulently" take money from every healthcare plan for more than a decade.

We re-adjudicate all your paid claims over the past 3 years then begin a recovery process.

We will do all the heavy lifting; investigation, re-adjudication of all claims, pursuit, and recovery of the overcharging then make accurate distributions to the plan and affected members.

We review 36 months of healthcare claims, re-adjudicating al claims (no auto-adjudication) and are not restricted by provider contracts, internal profiteering of your current vendors and anyone else who is involved. Additionally, we do not ignore members' overpayments.

Your current administrator often pays the payor to fix their own mistakes. In short, they consume millions of employer and employee dollars.

This is an independent third-party review. Do not rely on "The Fox to Guard the Henhouse."

Average Results for a 36 month Medical Spend of $70,000,000; using a conservative 4% Recovery is $1,400,000.00. Recovery could be 4 times higher.

This is the premier service, for employers with 500+ employees, "Best of Class” in the country.