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Clinical Claim Review Services
Implant and Policy Exclusions
EquiClaim, an Emdeon company, has developed a niche post-payment review service specifically targeting high-cost, high-impact cases where reimbursement methodology within contractual agreements is difficult to administer and monitor. EquiClaim, an Emdeon company has a dedicated staff of highly skilled healthcare professionals familiar with these products and services, as well as experts who can analyze and audit carve-outs and exclusions submitted on claims for reimbursement. This specialized review service provides payers with the ability to review previously paid claims, analyze and identify payment errors and successfully recover overpayments from the facility.
Policy Compliance Review areas of focus include: