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Services We Provide
KeyClaims delivers “specialty” cost containment solutions to payers that minimize risk and reduce costs in today’s healthcare environment. We specialize in the individual analysis and negotiation of medical claims, pre-screen services, bill review, and claim editing in addition to our core signed negotiated settlement service.
We serve healthcare payers including:
- Self-Insured/Self-Administered Employers
- Carriers / Re-insurers
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- TPAs
- Workers’ Compensation
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Individual Claim Analysis and Negotiation
- Inpatient Claims
- Outpatient/Surgery Center Claims
- Physician Claims/Professional Fees
- Dialysis Claims
- Recurrent Claims: Chemotherapy, Radiation, Injections
- Suppliers and DME
Bill Review
- Pre-screen performed on all claims.
- Desk audit or charge to cost ratio audits.
- Signed settlement attempted prior to bill review option.
Claim Editing
- Claim Editing performed in conjunction with our strategic partner.
Risk Management Services
- Risk Management and Consulting Services available.
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