HMS' Medicare Advantage Premium Protection uses member insurance information from CMS to determine whether Medicare has primary or secondary responsibility for paying claims.
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.
Here are the most frequently asked questions about HMS' Subrogation services.
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.
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.
Here are the most frequently asked questions about Pharmacy Disallowance.
HMS' Subrogation Services identify potential recovery for healthcare claims paid for injuries to conduct both casualty recovery and mass tort subrogation.
HMS' PremiumAssistance+ enables you to maximize cost savings through proactive identification of other coverage options for high-cost members.
Here are the most frequently asked questions about PremiumAssistance+.
Strategies for optimizing coordination of benefits programs