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ClaimDOC LLC
United States
เข้าร่วมเมื่อ 18 ธ.ค. 2017
ClaimDOC is a national medical claim auditing and member advocacy company driven to deliver a successful and sustainable health plan for employers and their employees. Using reference based pricing (RBP) principles, clients typically save 30% within the first year of switching to ClaimDOC from a traditional network program. ClaimDOC’s unique model within RBP leverages superior member advocacy to build partnerships with members and providers while consistently maintaining a 360-degree view of risk as co-fiduciary. Using next-generation technology paired with a human touch makes ClaimDOC the most sustainable alternative in the industry.
When the 'Easy' Plan Isn't Member-Friendly | Ep. 9
BUCAs may seem like the easy, all-inclusive choice, but they don’t offer the personal, one-on-one assistance most health plan members actually prefer. Plus, no plan sponsor should accept inferior member service - whether big network or reference-based pricing. In this month’s episode of ClaimTalk, Michelle Henaman and Heidi Martinez share the gaps in service you need to DEMAND get filled for your clients.
Subscribe to ClaimTalk so you don't miss an episode:
Apple: podcasts.apple.com/us/podcast/claimtalk/id1739171006
Spotify: open.spotify.com/show/3R9oj2rvSv3GPDSyCLzrEr?si=uoKpHpGUQ0G6LSoL5hQaFQ
ClaimDOC is a national medical claim auditing and member advocacy company driven to deliver a successful and sustainable health plan for employers and their employees. Using reference based pricing (RBP) principles, clients typically save 30 percent within the first year of switching to ClaimDOC from a traditional network program. ClaimDOC’s unique model within RBP leverages superior member advocacy to build partnerships with members and providers while consistently maintaining a 360° view of risk as co-fiduciary. Learn more by visiting: claim-doc.com/
#ClaimTalk #MemberCentric #RBP #WhyClaimTalk
Subscribe to ClaimTalk so you don't miss an episode:
Apple: podcasts.apple.com/us/podcast/claimtalk/id1739171006
Spotify: open.spotify.com/show/3R9oj2rvSv3GPDSyCLzrEr?si=uoKpHpGUQ0G6LSoL5hQaFQ
ClaimDOC is a national medical claim auditing and member advocacy company driven to deliver a successful and sustainable health plan for employers and their employees. Using reference based pricing (RBP) principles, clients typically save 30 percent within the first year of switching to ClaimDOC from a traditional network program. ClaimDOC’s unique model within RBP leverages superior member advocacy to build partnerships with members and providers while consistently maintaining a 360° view of risk as co-fiduciary. Learn more by visiting: claim-doc.com/
#ClaimTalk #MemberCentric #RBP #WhyClaimTalk
มุมมอง: 8
วีดีโอ
From Vision to Reality: Empowering People for Exceptional Client Experience - ClaimDOC
มุมมอง 6หลายเดือนก่อน
Ten years ago, CEO Ben Krambeck envisioned a work environment where each person felt valued. He knew prioritizing his people would improve client and member experience. Breaking away from norms and executing an innovative health plan solution requires more than just a few great employees. It requires an entire company of passionate, engaged people. Every day, ClaimDOC employees come to work rea...
ADVISORS UNLEASHED - Part 2 | Ep. 8
มุมมอง 45หลายเดือนก่อน
In this month's episode of ClaimTalk, brokers and industry experts Craig Gottwals and Mike Kerns are back for ADVISORS UNLEASHED - Part 2. They go even deeper into the benefits consulting industry, offering more brutally honest insights you won't hear anywhere else. Subscribe to ClaimTalk so you don't miss an episode: Apple: podcasts.apple.com/us/podcast/claimtalk/id1739171006 Spotify: open.spo...
ADVISORS UNLEASHED - Part 1 | Ep. 7
มุมมอง 842 หลายเดือนก่อน
This month's edition of ClaimTalk is the first half of a two-part discussion with brokers and industry experts Craig Gottwals and Mike Kerns. They provide an inside look at the benefits consulting industry in a no-holds-barred conversation you won't want to miss. Subscribe to ClaimTalk so you don't miss an episode: Apple: podcasts.apple.com/us/podcast/claimtalk/id1739171006 Spotify: open.spotif...
Got a Provider Access Fire? Call in a Fixer | Ep. 6
มุมมอง 543 หลายเดือนก่อน
Access will always be an obstacle with RBP medical plans. At ClaimDOC, we believe obstacles can be overcome. Our first wave of attack is proactive provider education through Pave the Way. When that’s not working, we turn to Austin Miller and our team of fixers. Learn more about Austin's journey at ClaimDOC and how our provider relations team uses data and relationships to ensure access in a new...
Keeping Claims Honest - The Role of a Fiduciary | Ep. 5
มุมมอง 454 หลายเดือนก่อน
As a fiduciary, you are responsible for ensuring medical claims are billed accurately. If your plan administrator is prevented from auditing claims due to the network contracts, who is fulfilling this duty? Cynthia Swanson and Amy Pellegrin join this month's episode of ClaimTalk to discuss egregious billing practices and what it is required to be a compliant fiduciary. Subscribe to ClaimTalk so...
How Do You Measure Great Member Experience? With Baby Pictures | Ep. 4
มุมมอง 6465 หลายเดือนก่อน
How do you silence RBP noise? In this month's episode of ClaimTalk, we interview rock star member advocate Amanda Ogg, and our training manager, Lori Van Groningen, about how they approach the challenges facing our members. There would be no headache-free direct access to care or cute baby pictures without their efforts. Subscribe to ClaimTalk so you don't miss an episode: Apple: podcasts.apple...
Winning the RBP Access War, With or Without Contracts | Ep. 3
มุมมอง 1236 หลายเดือนก่อน
Direct contracts are very different from direct access. In our latest episode of ClaimTalk -Winning the RBP Access War, With or Without Contracts - two of our legal experts share how we interact with providers to make sure DirectAccess members can receive medical care when they need it and from whom they want to receive it. Subscribe to ClaimTalk so you don't miss an episode: Apple: podcasts.ap...
RBP From the Front Lines: It’s As Personal As Healthcare Gets | Ep. 2
มุมมอง 1227 หลายเดือนก่อน
Is the member experience too challenging with reference-based pricing programs? Listen to Bruce Hansen and Stephanie Mohr discuss the challenges our member advocates face each day as they help members navigate their medical plans. And hear about the successes they achieve directly from one of our member advocates, Kyle Mechem. Subscribe to ClaimTalk so you don't miss an episode: Apple: podcasts...
NSA Claims - Surprise Billing and the Shocking Mistakes that Cost Plans Money | Ep. 1
มุมมอง 1508 หลายเดือนก่อน
No Surprise, the No Surprises Act has unintended consequences when administrative errors cost plans money. Join us, and we'll share some horror stories from open negotiations and tips for making sure your clients aren't just compliant-they are protected. Subscribe to ClaimTalk so you don't miss an episode: Apple: podcasts.apple.com/us/podcast/claimtalk/id1739171006 Spotify: open.spotify.com/sho...
Welcome to ClaimTalk | Podcast Teaser
มุมมอง 358 หลายเดือนก่อน
Get ready for a podcast that explains the complexities of cost containment and shares industry insights! Our team of experts will share their passion with the world in our new podcast, ClaimTalk. Subscribe now: Apple: lnkd.in/g3C5ja4G Spotify: lnkd.in/gm2Frq8a TH-cam: lnkd.in/dFGZJ8Gm ClaimDOC is a national medical claim auditing and member advocacy company driven to deliver a successful and su...
ClaimTalk by ClaimDOC | Episode 1 Teaser
มุมมอง 518 หลายเดือนก่อน
ClaimDOC is jumping into podcasting by launching ClaimTalk. Each month, you can look forward to a new episode filmed directly from our headquarters in Des Moines, Iowa. We won't be turning anyone into a benefits celebrity, but we will be hitting on issues we feel don't typically get expressed to audiences in ways that will make them better consumers. Stay tuned for the release of our first epis...
Introducing ClaimDOC's Updated Portal
มุมมอง 2110 หลายเดือนก่อน
ClaimDOC's updated portal offers unique provider access and pricing insights, unlike any other tool in the market. It helps our clients stay compliant with transparency rules and empowers members, at no additional cost. ClaimDOC is a national medical claim auditing and member advocacy company driven to deliver a successful and sustainable health plan for employers and their employees. Using ref...
Mittera Achieves 92% Health Plan Acceptance with ClaimDOC
มุมมอง 7210 หลายเดือนก่อน
Mittera is a national print, marketing, and media company with locations in 20 states. They were growing increasingly frustrated with the lack of cost transparency in their traditional PPO plan. In need of a change, Mittera replaced their traditional PPO with ClaimDOC’s reference based pricing solution. They trusted us to deliver savings to keep more money in their employees’ checks and take ca...
This is one of the best podcasts I've ever watched!
Kyle is a breath of fresh air in this industry. If you want to know why ClaimDOC is so successful in the RBP space, look no further than what this young man brings to the table every day!