The NexClaim Advantage
Most Health Plans leave up to 2% of their paid claim dollars on undetected for potential recovery. NexClaim Recoveries offers a highly sophisticated program that can recover up to 2% of your total paid health claim dollars. Medicare Plans typically generate a .05% return rate on recovery due to the demographic category of patients, the types of injury, and federal laws. Access to our team of specialists and client service representatives by phone, email, and our website gives our clients ease of knowing, we work to support their cost-containment efforts.
Client Data Analytics
Transparency of information is critical to the relationship that NexClaim builds with all of it clients. Providing monthly, quarterly, annually, and customized reports to our clients ensure that both sides are informed of the account status and success. Knowing that our client's account is being handled professionally, with attention to detail, by highly trained specialists within the industry is a fact that we are proud to promote.
Comprehensive Subrogation and Recovery Program
Some medical expenses are caused by the negligence of a third party and are recoverable from the responsible source, usually the insurer for the at-fault party. NexClaim's comprehensive subrogation and recovery programs maximize recoveries on claims paid from these accidents.
Description of custom q capability will go here
Scope of Services
Detection- The identification of cases with recovery potential by knowing medical terminology and ICD-9 and ICD-10 coding and proprietary algorithms.
Investigation- Utilizing all available local, state, and federal resources to evaluate potential cases and establishment of liens rights.
Collection- Trained negotiators working with civil litigation attorneys, malpractice trial attorneys, paralegals, claim analysts and insurance companies throughout the country to satisfy lien rights and maximize recovery dollars.
Resolultion: Receive and remit funds recovered back to client accompanied by comprehensive monthly report.
Client Implementation occurs through the respective Information Technology teams within NexClaim and the client to ensure the transition of data is seamless, timely, and cost effective. Our team can fast-track the implementation process by ensuring the time of the retrieval of data by the client to download directly to our specialist is within a BLANK block of time.
Nexclaim employs the brightest and most innovative system technology team in the industry. Our propriety system allows us to track potential recovery dollars through advanced technology solutions.