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Creditek helps improve the medical loss ratio by assisting large and small payers identify and resolve their overpayment problems with providers, members, and other payers.
Creditek works with each client to understand its unique contractual requirements, benefit structure, and provider network. This information becomes the basis for the overpayment identification system. Once overpayments are identified, Creditek’s proprietary system analyzes and prioritizes the claims, links all claims for each provider, and presents the work to be done to a team of experienced analysts.
Our staff then researches the client’s member and provider rosters, assembles the information required to support each claim, and contacts the provider, member or payer to initiate the resolution process.
For small balance claims, this process generally starts with a succession of demand letters, followed by phone calls. For larger balances, Creditek relies primarily on phone calling. In all cases, the content, frequency, and sequence of letters and phone calls can be customized to meet each client’s needs.
Call 800-806-3787, ext 4450 to speak with a Creditek professional today.
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