Our Solutions: Coordination of Benefits

  • 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

    Read Article
  • 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.

    Read Flipbook
  • 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.

    Read Flipbook
  • Subrogation FAQ for Employers

    Subrogation FAQ for Employers

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

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

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

    Read Article
  • 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.

    Read Flipbook
  • 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.

    Read Flipbook
  • Pharmacy Disallowance FAQ

    Pharmacy Disallowance FAQ

    Here are the most frequently asked questions about Pharmacy Disallowance.

    Read Flipbook
  • 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.

    Read Flipbook
  • PremiumAssistance+

    PremiumAssistance+

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

    Read Flipbook
  • PremiumAssistance+ FAQ

    PremiumAssistance+ FAQ

    Here are the most frequently asked questions about PremiumAssistance+.

    Read Flipbook
  • Subrogation FAQs

    Subrogation FAQs

    Read Flipbook
  • Coverage on Demand

    Coverage on Demand

    Read Article
  • Webinar: COB Innovations in a Changing Healthcare Environment

    Webinar: COB Innovations in a Changing Healthcare Environment

    Strategies for optimizing coordination of benefits programs

    Read Article
  • How Payers & Providers Can Work Together to Improve Coordination of Benefits

    How Payers & Providers Can Work Together to Improve Coordination of Benefits

    Read Article
  • 7 Third-Party Liability Policy Considerations to Prioritize Amid COVID-19

    7 Third-Party Liability Policy Considerations to Prioritize Amid COVID-19

    Read Article
  • 3 Ways COVID-19 Is Affecting Medicaid Third-Party Liability

    3 Ways COVID-19 Is Affecting Medicaid Third-Party Liability

    Read Article
  • COVID-19 Testing – New Opportunities for Laboratory Services Fraud and Abuse

    COVID-19 Testing – New Opportunities for Laboratory Services Fraud and Abuse

    Read Article
  • Six Key Attributes of a Qualified Third-Party Liability Partner

    Six Key Attributes of a Qualified Third-Party Liability Partner

    Read Article
  • MACPAC Issues New TPL Recommendations for TRICARE in Report to Congress

    MACPAC Issues New TPL Recommendations for TRICARE in Report to Congress

    Read Article
  • loading
    Loading More...