Cost Containment
Cost Containment
With a strong emphasis and contined commitment in Cost Containment, we have invested in a staff of 60 Utilization Management Professionals, 30 of which are nurses. Our Cost Containment is a Core Competency of HealthComp.

Cost Containment Services

  • Provider Fee Negotiations
  • In-Network Steerage
  • Review Medical Necessity
  • Medical Claims Review 
  • Dialysis Claims Management

Benefits

  • Significant cost savings to the Plan
  • Early identification of potential Case Management patients
  • Increased ability to trend possible questionable billing pratices
  • Increased accuracy in claims processing
  • Timely notification to Reinsurance of High dollar cases
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