A MedBen Client received two large dollar claims for Mast Cell Activation Disease, both of which were flagged. In addition to occurrences of unbundling, following physician review it was determined that the length of hospital stay exceeded standards for medical necessity. The provider wrote off the difference with no balance billing.
Through MedBen forensic claims review, the client saved 97%.
By combining skilled examiners, an advanced surveillance system, and board-certified specialists, MedBen forensic claims review delivers payment accuracy and client savings – on average, an additional 53.4% on flagged claims, over and above the PPO discount.
MedBen ensures that you pay the right price for necessary care. Call us today at 888-627-8683 to learn more.