Protecting Payers, Providers, and Patients from Healthcare Fraud
The Problem
The Solution
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The Benefits
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Payer Benefits
Payers save money since they no longer have to pay fraudulent claims.
Payers save money currently spent on detecting and pursuing fraudulent insurance claims.
BioClaim reduces costs which in turn can reduce insurance premiums making health care more affordable resulting in more customers.
An investment in BioClaim technology can yield an R.O.I. of 969% for the average insurance company by significantly reducing fraud, currently about 6% of thier annual expenditures.
Provider Benefits
BioClaim protects a provider and the practice from liability by ensuring the only medical entries in a patient's chart are those that belong to that patient and not someone who stole that patient's identity.
BioClaim assists in complying with the "Red Flag Rules."
BioClaim can provide eligibility and co-payment information at point-of-service.
BioClaim increases collections as a provider will get paid at time of treatment rather than attempting to collect deductible payments.
99% of patients appreciate their provider protecting them against fraud, based off surveys in our pilot locations.
Patient Benefits
BioClaim eliminates medical identity theft which can result in false medical records, denial of health coverage or higher premiums.
BioClaim prevents electronic health record errors which can result in receiving the wrong treatment or medications.
BioClaim can help prevent co-payment increases resulting from phantom billing.
BioClaim helps reduce healthcare premiums by preventing healthcare fraud.
BioClaim helps to make sure your tax dollars do not pay for fraudulent claims against Medicare, Medicaid and other taxpayer-funded health programs.
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