Cost Plus / Medicare Benchmarking Gains Market Momentum

United Claim Solutions (UCS), a leading Claims Flow Management and Medical Cost Reduction firm, is offering an aggressive alternative to PPOs; Medicare Plus repricing.

Editor’s Note: To the best of our knowledge, there are six TPA’s operating in the Texas market that offer administration of non-PPO plans, using Medicare pricing as a claim reimbursement benchmark. We have identified  four audit firms that provide backroom support, along with legal indemification services. TPA /Audit pricing varies.

MyHealthGuide Source: United Claim Solutions (UCS), 9/20/2012, www.UnitedClaimSolutions.com
PHOENIX, AZ — United Claim Solutions (UCS), a leading Claims Flow Management and Medical Cost Reduction firm, is offering an aggressive alternative to PPOs; Medicare Plus repricing. This solution provides a cutting edge option to clients interested in driving dramatic savings as compared to the typical Primary PPO network. It will also be offered as a solution for discounting Out-of-Network claims. As part of the program, UCS will provide support and advocacy to members that may require assistance in responding to provider inquiries.
“We are seeing significant interest in this type of program, and feel we are positioned to provide a quality solution because of our success in working with providers through our negotiations and bill audit programs.” says Joshua Carder, President, UCS. “We also recognize that this service is not for everyone, and will work as a consultant to make sure the client is truly ready to take this step, including assisting in development of appropriate Plan documents.”
About UCS
UCS is an innovative Claims Flow Management and Medical Cost Reduction company providing cutting edge and customizable programs for TPAs, self-insured employers, unions, stop-loss carriers and health plans. UCS offers end to end services including Primary PPO Administration, Medical Care Management, EDI Claim Routing, Data Warehousing, OCR/Scanning, Out-of-Network Bill Repricing, Bill Audits, and Predictive Modeling. Contact Corte Iarossi at 602-393-4553(x120), CIarossi@UnitedClaim.com and visit www.UnitedClaimSolutions.com.