This revolutionary tool:

• Lowers costs by reducing the volume of customer service phone calls to health plans asking for information or interpretations
• Helps member satisfaction by enabling consumers to better understand the information documented on their EOBs
• Boosts health plan’s ability to detect fraudulent billings through member support

This low cost, easily implemented solution has immediate benefits for health plans and consumers alike. Consumer Code Manager seamlessly integrates with your existing EOB system, helping your health plan differentiate itself with the quality and type of member services you provide. As consumers have increasingly greater financial stake in their own care, it is critical that they understand the services they received as they work to manage their healthcare costs. Because consumers are already familiar with EOBs, they don’t need to change their behavior, and they will get informative, positive results immediately. Consumer Code Manager is simply an effective tool for delivering the same information in an understandable, and therefore more useful, format.

REDUCE ADMINISTRATIVE BURDENS

Confusion over cryptic EOBs costs providers and health plans alike. Many consumers call their health plans directly for help. Others call their already overtaxed physician offices who, in turn, end up contacting the health plan on the consumer’s behalf. Either way the health plans incurs excessive in-bound call expenses. To this point, while it’s important for employers to provide access to consumer tools when they offer a CDHP in addition tradition HMO and PPO offerings, it is essential to provide employees with consumer tools when they only offer CDHP options.

ENHANCE MEMBER SATISFACTION

Everyone who visits the doctor will receive an EOB—not just those with a CDHP—and what patients experience on the paperwork side of health care can be overwhelming, especially if they have a chronic medical condition or a complex health problem. Consumer Code Manager provides descriptions on EOBs for absent or undecipherable medical terms in everyday language. By presenting them with easy-to-understand language for diagnoses, procedures, treatments, etc. Consumer Code Manager delivers information that helps people understand what they’re paying for—and why.

MINIMIZE FRAUDULENT BILLING

Comprehending the information on EOBs isn’t easy. With insurance fraud, medical identity theft, and common billing errors on the rise, it’s important to help consumers prevent overpayment. According to research performed by the Centers for Medicare and Medicaid Services, (CMS), a substantial percentage of inappropriate billings are detected by consumers—equaling millions of dollars annually. Consumer Code manager makes it possible for consumers to comprehend and scrutinize each line item on their EOBs thereby enabling them to assist in detecting erroneous and fraudulent billings.