Companies

The basic premise of any profitable and successful business is to make sure your company's revenue is always greater than its expenses. Advocare Medical Claim Advocates can help control the healthcare portion of your expenses especially if your company is self-insured, resulting in an improved bottom line.

We will review medical/hospital claims for accuracy, recover overpayments and reprocess claims to maximize cash flow.

As a self-insured company, your Third Party Administrator (TPA) will process and adjudicate your claims. They audit hospital claims for medical necessity, and bill your company off a UB-04 form. The UB-04 form only shows broadly grouped charges.

Advocare Medical Claim Advocates goes one step further and audits from an itemized statement to ensure compliance with federal billing guidelines. We can save you thousands of dollars by ensuring a true and accurate bill as a starting point from which you pay your contracted rate.

Hospital costs are the largest portion of your employee's claim fees - and they are the least scrutinized. Let us save you money by:

• Reviewing the past 1-2 years of claims, and try to recover overpayments
• Reviewing hospital claims for over-billing
• Reviewing medical provider billing claims
• Assisting your TPA to ensure you are paying your contract percentage from a true and accurate hospital bill

There is nothing to lose by giving us a call to see how we can lower your company's out-of-pocket employee healthcare expenses. Since we are paid on a contingency basis, we receive reimbursement for our services when we save you money. The cost to you is a percentage of the recovery so there are no upfront fees. You benefit every time we identify billing errors.