Insurance&Tech_TLB_9.23.19

Products by Equian

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  • Post-Payment Solutions for Healthcare

    Overpayment on healthcare claims is costing your organization millions of dollars. Errors are substantially cutting into your bottom line—and post-payment solutions are critical to your company’s financial health. Equian partners with clients to identify and eliminate overpayments and costly... Read More
  • Pre-Payment Solutions for Healthcare

    Network Solutions: Equian provides a single integrated access point for a variety of network solutions including over 100 national, regional, and specialty PPOs. Our platform eases the administrative burden by eliminating the need for multiple Electronic Data Interfaces (EDI’s), claim format... Read More
  • Workers' Compensation Bill Review

    Bill review is the foundation of all Workers’ Compensation cost-management programs. Equian’s solutions include a market-leading platform coupled with Workers’ Compensation experts, and we also utilize our pre and post-payment services to optimize savings for you. Our experts conduct a... Read More
  • Workers' Compensation NetworkvSolutions/

    Equian’s network solutions enable access to over 35 Workers’ Compensation-specific national, regional, and specialty PPO networks. Bills are re-priced according to pre-defined PPO hierarchies based on state, regional, group, or all-encompassing rates. Our options include direct contracts,... Read More
  • Workers' Compensation Pharmacy Benefit Management

    Rx-direct costs account for 19% of medical spending or 11 to 12% of total incurred costs for injured workers—and these costs are expected to double within the next five years. Costs further affect medical spending due to treatment of side effects, claim duration, and permanency. This means Rx... Read More
  • Workers' Compensation Specialty Bill Review & Resolution

    The process for workers' compensation specialty bill review and resolution includes determining which claims will benefit from negotiation using various tools, including Medicare rates, our proprietary database for implant/supply costs, industry benchmarks, and national payers’ payment... Read More

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