Health Insurance Recovery Services (HIRS)
Health Insurance Recovery Services (HIRS)
Insurance services for global clients. Our HIRS system is based on a flexible model that can be customized based on every client’s requirement. Our accounts receivable follow-up solutions ensure complete resolution including payer liability confirmation and collection, along with the identification of unrealized payments in the form of adjustments and contracts.
Some of the most common reasons for unpaid claims which we help you recover include
➢ Patient Demography Errors
➢ Insurance Writing Errors
➢ Medical Coding And Coverage-Related Issues
➢ Payer Processing-Related Issues
➢ Delays Caused By Carriers
Services
- Medical subrogation recovery services
- Overpayment recovery services
- Accurate reporting
- Secondary payer validation
- Pharmacy audits and compliance
- Specialty medical audits
- Dependent Eligibility audits
- Medical credit balance audits
Benefit
Takes care of the ‘recovery expenses’ of the insured. Also known as convalescence benefit or recovery benefit, this refers to handing out a lump-sum to the insured, post hospitalization. The prerequisite is that the insured was hospitalized for a period of 10 days or more.
Advantage
It provides financial security by covering the costs related to treatment, hospitalization, free health check-up, and pre and post hospitalization expenses.