A Solution for Multiple Accountable Parties (MAP) Claims
For most insured patients, claims are covered with a cost share (deductible, copay, coinsurance) and the health benefit plan picks up the rest. But, what about cases that are not so simple?
What if there is more than one insurer responsible for payment?
What if some services are not covered?
What if the plan paid a portion of an out-of-network claim but the member is eligible for charity care because of their income level and site of service?
What Is ImpactClarify?
ImpactClarify is a new offering from the cost containment experts at Renalogic to consider these possibilities, clarify appropriate accountable parties and properly allocate payment by the appropriate parties.
Our process facilitates the:
RIGHT payment in the
RIGHT amount by the
RIGHT party for these Multiple Accountable Parties (MAP) claims.
How It Works
ImpactClarify can save both plans and members hundreds of thousands of dollars with our proven ACAP™ four-step process:
Renalogic analyzes claims for any triggers related to complex, costly claims which may have other financially responsible parties.
Our dedicated legal expert assesses the claim to identify all responsible parties.
Working with all stakeholders, an agreement is reached to properly assign monetary responsibility.
Our financial and operational experts facilitate the proper processing of funds according to the developed agreement.