Our Solutions: Coordination of Benefits

  • Coordination of Benefits Recovery Services

    Coordination of Benefits Recovery Services

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  • HMS Launches Coordination of Benefits on Demand Solution with Near Real-Time Insight into Other Coverage

    HMS Launches Coordination of Benefits on Demand Solution with Near Real-Time Insight into Other Coverage

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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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  • Premium Coordination of Benefits Services

    Premium Coordination of Benefits Services

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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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  • Readmission Prevention Solution

    Readmission Prevention Solution

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  • Other Primary Pharmacy Coverage Represents Both a Savings Opportunity and Compliance Risk for MA/PDP Plans

    Other Primary Pharmacy Coverage Represents Both a Savings Opportunity and Compliance Risk for MA/PDP Plans

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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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  • Comprehensive COB for Health Plans

    Comprehensive COB for Health Plans

    Plans need accurate, real-time other primary payer detection and verification to avoid unnecessary cost HMS' COB solution leads the industry with the most efficient matching technology available.

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  • Subrogation FAQ for Employers

    Subrogation FAQ for Employers

    Here are the most frequently asked questions about HMS' Subrogation services.

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  • Say Yes to Reduced Medicaid Costs and Increased Member Satisfaction with PremiumAssistance+

    Say Yes to Reduced Medicaid Costs and Increased Member Satisfaction with PremiumAssistance+

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  • Comprehensive Solutions for Medicare Advantage Plans

    Comprehensive Solutions for Medicare Advantage Plans

    HMS' suite of Medicare Advantage services are designed to help MA plans overcome industry forces that create pressure to optimize revenue, reduce costs, minimize risks, and improve outcomes.

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  • Pharmacy Disallowance

    Pharmacy Disallowance

    Pharmacy Disallowance allows HMS clients to achieve higher recovery rates on high-cost medications by leveraging the patient history, pharmacy/physician relationships, and pharmacy provider expertise.

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  • Pharmacy Disallowance FAQ

    Pharmacy Disallowance FAQ

    Here are the most frequently asked questions about Pharmacy Disallowance.

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  • Subrogation Services

    Subrogation Services

    HMS' Subrogation Services identify potential recovery for healthcare claims paid for injuries to conduct both casualty recovery and mass tort subrogation.

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  • PremiumAssistance+

    PremiumAssistance+

    HMS' PremiumAssistance+ enables you to maximize cost savings through proactive identification of other coverage options for high-cost members.

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  • PremiumAssistance+ FAQ

    PremiumAssistance+ FAQ

    Here are the most frequently asked questions about PremiumAssistance+.

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  • Subrogation FAQs

    Subrogation FAQs

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