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How This Leading TPA Boosted Recoveries By 2X & Uncovered $9+ Million In Missed Opportunities
With over 250,000 members, this large, third-party administrator of healthcare plans was missing out on valuable subrogation opportunities. After firing their former subrogation provider, they came to us to help them streamline their processes and maximize recoveries.
They needed a proven way to recover more opportunities, improve client relationships, and shorten their identification process. The results?
The most important results (are) that cases are settled promptly, and so we’ve seen a lot faster turnaround in cases. Previously, I would have to generate ledgers of all the claims paid each time we had to refer a case. But now, since we already send the claims data file over each month, I no longer have to. So basically, it lessened the administrative burden for our team, where we did not have to send so much information on a referral.
– Coding Auditor and Subrogation Analyst for the TPA