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Life and Health Services
Your investigation will be handled by a knowledgeable professional,
experienced in the particular type of investigation needed.
Documentation will be provided promptly to assist you in making
your claim decision.
The following is a partial list of some of the types of investigations
we perform for both the individual and group claim markets.
LIFE/DISABILITY CLAIMS
| Individual |
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Group/Small Group |
- Contestability
- Accident/Suicide
- Disability Evaluation
- Activities Check
- Pre-Surveillance/Surveillance
- Medical Record Procurement
- Document Verification
- Physician Interview
- Credit Life/Disability
- Overpayment Recovery (SS Offset)
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- Pre-existing
- Eligibility Audit
- Accident/Suicide
- Aggressorship
- Dependency Verification
- Disability Evaluation
- Activities Check
- Physician Interview
- Medical Record Procurement
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Healthcare fraud has reached epidemic proportions. Here are
some of the services we provide to the health claims industry.
HEALTH CLAIMS
| Individual |
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Group/Small Group |
- Contestability
- Possible Primary Carrier (Subrogation)
- Dependency Verification (Family)
- Provider Fraud
- Physician Interview
- Medical Record Procurement
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- Pre-existing Condition
- Coordination of Benefits
- Possible Primary Carrier (Subrogation)
- Dependency Verification
- Eligibility Audit
- Provider Fraud
- Physician Interview
- Medical Record Procurement
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We are eager to assist you in identifying suspicious claims
and want to be an asset to your ongoing educational program.
It is to that end that we will provide you additional materials,
including: Indicators of Potential Fraud and Speculation,
Small Group Eligibility Audit Checklist, Guidelines for Excessive
or Questionable Charges on Medical Claims. If you would like
one or several copies, drop
us a line, email, or give us a call.
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