ClaimDOC
@ClaimDOC_RBP
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ClaimDOC is driven to help employers deliver successful and sustainable medical plans for their employees through DirectAccess+™ — ClaimDOC’s unique RBP model.
Joined October 2020
One day in the hospital after a heart attack resulted in a bill that could have sent the patient right back into cardiac arrest. With DirectAccess+, the cost became far more manageable, saving the member thousands and the plan nearly $117K. https://t.co/HeW1A55xxr
#WhyClaimDOC
claim-doc.com
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and...
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Vendors love to pitch system changes as the next big leap forward, but the reality is far less exciting. On the next ClaimTalk, we finish our conversation with Emma Fox on vendor struggles, sharing more red flags to watch out for, including system changes. #ClaimTalk #RBP
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There is a fine line between abuse and fraud in healthcare. However, both threaten financial integrity and patient care. In her latest Audit Spotlight, Cynthia Swanson examines the differences between the two and offers tips on how to prevent them. https://t.co/EfYDk8ftPS
claim-doc.com
Program integrity strategies focus on pricing and reimbursing the correct amount to legitimate providers and suppliers for covered services — reasonable and necessary services provided to eligible...
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ClaimDOC goes against the grain in the reference-based pricing industry by stressing the importance of doing the hard work to create access without a contract. Brad Hansen, vice president of provider relations, is responsible for navigating the dance of knowing when a contract is
claim-doc.com
In my role leading provider relations, I have many conversations with prospects, clients and brokers regarding our contracting strategy. Our strategy is unique in the industry and one you’ll only...
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If your biggest complaint about reference-based pricing is that it hinders access, you’re working with the wrong RBP vendor. During the fourth quarter of 2025, we achieved nearly a 97% provider acceptance rate on more than 12,000 nominations! That’s not a new trend for ClaimDOC.
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Today, we honor the life and legacy of Dr. Martin Luther King Jr. His vision of equality, justice and unity continues to inspire us to create a better future for all.
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Saying you're the best doesn't mean much if you can't prove it. And when every vendor makes that claim, it's hard to determine who will be the best fit. On the next ClaimTalk, Emma Fox returns for the second half of a discussion on vendor struggles to share what to look for and
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Finding new healthcare providers can be frustrating but not with a member advocate like Beatriz. When it comes to supporting our members, she sets the bar high! Thank you, Beatriz, for showing what ClaimDOC service looks like!
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Happy National Bobblehead Day! At ClaimDOC, we celebrate 5-year milestones with custom bobbleheads that capture the spirit of our amazing team. Here are a few of the fun creations from this year, because every achievement deserves a little nod!
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Flurries of thanks for our staff celebrating anniversaries in January! New year, same stars shining bright. Happy work‑iversary to this cool crew. #ClaimDOCculture
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Happy New Year from ClaimDOC! As we close the chapter on an amazing 2025, we’re excited to embrace new opportunities and continue making a difference in 2026. Thank you for being part of our journey. Here’s to health, success and innovation in the year ahead!
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A sales pitch can sound great, but if you visit a vendor and what you’re seeing doesn’t match what they are selling, you should probably look elsewhere. Emma Fox sits down with Danielle Young, Bruce Hansen and Stephanie Mohr to discuss how to determine if a vendor is the right
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Ten days in the hospital is hard enough, the bill shouldn’t make it harder. For treatment of morbid obesity with respiratory and kidney failure, ClaimDOC helped protect $48,336.27 for the plan while cutting the member's patient responsibility in half. https://t.co/1KUpqqYjbV
claim-doc.com
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and...
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Merry Christmas from ClaimDOC! Wishing you peace, joy and time with those who matter most.
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At ClaimDOC, we go big for the holidays! With a cozy (ugly) sweater contest, delicious holiday meals and a mischievous elf keeping us on our toes, the festive spirit has been strong all month long! #ClaimDOCculture
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As Hanukkah comes to a close, we extend our warmest wishes to the Jewish community. May the light of the menorah continue to shine brightly in your hearts throughout the year. Happy Hanukkah from all of us at ClaimDOC!
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Outrageous anesthesia charges can happen, sometimes billing for hundreds of dollars per minute of anesthesia. In this month’s Audit Spotlight, Cynthia Swanson examines the varying charges for anesthesia services and breaks down several examples. https://t.co/nJdJcpeQRQ
claim-doc.com
As healthcare costs continue to climb an upward slope, there is an escalated and ongoing need for closer assessment of healthcare claims to assist in identifying egregious charges, improper medical...
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Misaligned incentives aren’t just about money, they’re also about relationships. On the next ClaimTalk, Emma Fox explains how those relationships are keeping bad vendors alive. https://t.co/SHcUz8jTdZ
#ClaimTalk #RBP #SelfFundedHealthcare #HealthBenefits
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Another successful spot shot is in the books. Our team put on an amazing display of free throw shooting last week. We saw fast shots, big effort and plenty of fun. Congratulations to the winners, and thanks to all players who made it happen!
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Strong self-funded plans don’t happen by accident. They’re built with vendor partners who actually deliver. In Part 1 of a two-part episode, Emma Fox joins Danielle Young, Bruce Hansen and Stephanie Mohr to explicitly unpack where TPAs and others go wrong, and how to spot the
claim-doc.com
Building a successful self-funded health plan demands skilled and efficient vendor partners that have the expertise to deliver on their promises. Identifying the best vendors can be challenging, and...
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