End-to-end overpayment recovery services

Duplicate payments, member eligibility, incorrect PPO discounts, coordination of benefits and billing errors - mistakes like these cause health plans to overpay providers millions of dollars every year. Recovering that money is a complex and time-intensive process. Unfortunately, most organizations lack the resources and expertise to effectively recapture the lost dollars and often settle for much less than what they are owed. Ingenix can help. Ingenix provides an end-to-end Overpayment Recovery Service to recover the highest possible amount and maintain positive working relationships while virtually eliminating the hassle.

Recover the highest possible amount with:

• Highly skilled negotiators with substantial experience recovering overpayments
• High-touch, client-focused collection methodology
• Complete follow-up and follow-through on payment plans to achieve full payment on plans
• Contingency-based model for services

Insurance Industry Knowledge

Our team averages over 13 years of experience in overpayments in the health care industry. This expertise helps us understand the providers we are collecting from and the payers for whom we are collecting, and allows us to educate all parties about the process and the potential implications.
 We also understand state laws and the pertinent information to communicate to our clients so they are always aware of potential claim issues, and know when legal representation is needed. The result is a faster, easier, and less expensive process.

Unique Collection Methodology

With Ingenix Overpayment Recovery Services, your overpayment funds will be collected in a professional manner and in greater amounts. Ours is a hands-on, client-focused process in which providers are called or faxed rather than simply receiving letters from the payer. In response to this more personal approach, providers are more likely to send payments in a timely fashion.