We at eExpedise offer full service in case management with managing the various processes set up by insurance companies and partners. As case managers, we independently administrate and overlook the complete chain of events right from the beginning of receiving a case until it’s completion. We embrace new technology and strive to deliver innovation in our services which help us offer tailored solutions to ensure that our customers receive the Right Care (medical management), at the Right Place (networking), at the Right Time (utilization review) for the Right Cost (bill auditing). eExpedise’s claim management services range from simple Network Claim Repricing, Bill Auditing, Coordination of Benefits and Out of Network Claim Negotiations.
Our expertise in cost containment provides our clients with the freedom to choose the best medical providers in the country with the most efficient service. Our cost containment strategy includes the detection and prevention of fraud through data analytics for coding validation, unbundling, corrective coding edits, and claims auditing. While analyzing claims, eExpedise utilizes its own claims data history along with the industry benchmarks such as ‘reference-based’ pricing to initiate claims negotiations and settlements.
As a result, our clients benefit from our experience in medical cost containment and from substantial discounts which we have negotiated with our extensive network of providers
Our team of highly qualified and certified professionals ensures that our clients receive quality service and the best health care while coordinating the whole process from start and making sure that the needed medical treatment is pre-approved in accordance with the terms and conditions of the health plan. With a highly diverse team, we are more often than not able to provide assistance services in the customer’s native language. In addition to this, we utilize the industry’s more reputable published criteria and their latest medical guidelines on all of our in-patient and surgical cases. Hence, by using a clinical evidence based on the latest published research our team ensures proper levels of care for our patients and that the decisions made concerning their health care are based on the most up-to-date and reliable scientific evidence.