The Leading Edge of Innovation

Health Decisions, Inc. has over twenty years of experience helping employers manage and reduce their health plan costs.

Health Decisions’ unique approach utilizes cutting edge technology and customized software, helping clients to optimize the performance of their current health plan. Our services include:

• Claim Recovery and Overpayment Audits – Utilizing our proprietary customized software, we examine 100% of medical claims to identify overpayments that should have been paid by others as well as pursue collection from other payers, such as Medicare and other insurers.
• Dependent Eligibility Audits – We validate the accuracy of your health plan enrollment information through several enrollment-related service offerings.
• Data Warehousing Services – We translate and integrate various data formats into compatible, easy-to use Microsoft© files, meeting HIPAA requirements.

Our track record demonstrates that our Claim Recovery and Enrollment Auditing Services deliver a solid return on investment while also providing a thorough audit of your carriers claims administration performance. We deliver this with a minimum of time investment from you and your employees.

To discover how our products can turn data into dollars, please explore the menu above.