- Multi-Pass Claim Identification Process
- First-Pass Data Manipulation – begin claim identification based on common trouble areas to maximize speed, volume of initial recovery
- Second-Pass Data Manipulation – drill deeper, search for additional errors based on trends identified via first-pass, client specific directives
- Final-Pass Data Manipulation – insights developed via previous passes used to confirm no additional claims remain unidentified
- Claim Generation
- Analysis of claims identified for compliance with audit plan parameters, client directives
- Assignment of claims to clerical staff for compiling supporting documentation, additional backup
- Review claims for accuracy, assemble finalized claim packages, alert client of claims ready for upload