Info Sheets

  • Coordination of Benefits Recovery Services

    Coordination of Benefits Recovery Services

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  • Avoiding Cost by Investing in Proactive Care

    Avoiding Cost by Investing in Proactive Care

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  • GlobalHealth's Comprehensive 10% MLR Reduction Program

    GlobalHealth's Comprehensive 10% MLR Reduction Program

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  • The Most Comprehensive Solutions to Control Costs

    The Most Comprehensive Solutions to Control Costs

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  • Medicaid to Original Medicare COB

    Medicaid to Original Medicare COB

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  • Pre-payment Analytics

    Pre-payment Analytics

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  • Premium Coordination of Benefits Services

    Premium Coordination of Benefits Services

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  • Utilization Management

    Utilization Management

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  • COVID-19 Vaccine Checklist

    COVID-19 Vaccine Checklist

    Break through the noise to reach your populations and provide helpful information about the COVID-19 vaccine. Follow this four-step checklist to engage consumers.

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  • FraudCapture

    FraudCapture

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  • Inpatient Readmission Review

    Inpatient Readmission Review

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  • COVID-19 COB

    COVID-19 COB

    HMS' COB solution can help state agencies recover reimbursement for COVID-19 testing and vaccine services from insurance plans.

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  • Eliza Solution Overview

    Eliza Solution Overview

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  • Readmission Prevention Solution

    Readmission Prevention Solution

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  • Getting Personal About Population Health

    Getting Personal About Population Health

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  • Comprehensive Personalized Care Management

    Comprehensive Personalized Care Management

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  • Behavioral Health Engagement Programs

    Behavioral Health Engagement Programs

    The pandemic is difficult for individuals' mental health. HMS' Eliza helps identify how people feel and delivers messages to the right person at the right time as part of a personalized intervention.

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  • Clinical Claim Review

    Clinical Claim Review

    HMS' Clinical Claim Reviews leverage a vast knowledge base from clinical experts, credentialed physicians, and healthcare data scientists to improve payment accuracy and minimize pay-and-chase.

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  • Medicare Advantage Premium Protection

    Medicare Advantage Premium Protection

    HMS' Medicare Advantage Premium Protection uses member insurance information from CMS to determine whether Medicare has primary or secondary responsibility for paying claims.

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  • Healthcare Engagement and the TCPA

    Healthcare Engagement and the TCPA

    Health plans need to consider the impact of the TCPA when communicating important health information. Non-compliance can have serious financial implications. HMS' Eliza helps to ensure TPCA compliance

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