Health plans face a serious problem in buying legitimate and correct enrollment knowledge to coordinate advantages in a well timed method. The complexity of coordination of advantages (COB) makes overpayments extra prone to happen when Information gaps develop between plans, which may improve the burden on inner sources.
The proof for the effectiveness of retrospective overview is powerful—however recovering funds after funds are made is an intricate and tedious course of. By combining retrospective COB with prepay overview, plans can improve worth by catching errors earlier than claims are paid.
As the one pause-and-review resolution in the marketplace, Cotiviti’s complete potential COB validation resolution delivers worth past knowledge belongings, figuring out advanced and difficult situations, growing financial savings, and lowering administrative prices.
Learn our case research to learn the way one nationwide plan benefitted from prepay COB by:
- Growing prepay COB financial savings by 200x since program inception
- Realizing prepay financial savings on 99% of identifications
- Decreasing its inner useful resource burdenÂ
Uncover the worth you would be lacking and not using a complete COB program. Check out our resources for extra Information on easy methods to implement a extremely profitable COB technique.Â