Claims Monitoring:
Actively Identifying Savings
2 CLAIMS
Identified and re-priced by Crumdale for higher discounts
$45K+ REQUESTED
The amount originally requested from the group by the TPA
$42K+ SAVED
Savings when in-network claims were correctly processed with only $3K due from the group, NOT $45K+
The Situation
MEDICAL CENTER
TEXAS
330 EMPLOYEES
One of our broker partners has a client that is a full-service medical center in Texas. The client was experiencing extreme increases in their medical claims spend without significant plan changes to merit the high costs.
The incumbent carrier program restricted the company’s ability to access medical claims information and failed to offer cost-saving solutions.
Due to the lack of transparency and poor medical claims management with their incumbent program, the company worked with their broker to switch to Crumdale Specialty to transparently reduce costs through a proven claims monitoring process.
Goals
CLIENT:
Work with Crumdale to develop and implement an integrated claims management approach that identifies savings with vendor oversight.
BROKER:
Obtain transparency and cost containment for the client through Crumdale’s specialty claims management process and services.
