Health Decisions, Inc., the market leader in medical claim overpayment audits, helps self-funded employers optimize the performance of their health plans. Health Decisions’ Claim Recovery and Administrative Overpayment Audit combines innovative technology and proprietary software with expert review to identify claims that are the responsibility of another party. The audits are comprehensive and screen 100% of paid claims in over 40 Recovery Modules.

Health Decisions has conducted Administrative Overpayment Audits since 1989, which makes us one of the most experienced health claim audit firms in the nation. Our audit service goes beyond the industry standard by:

• Having the most sophisticated query logic and case detection software in the industry.
• Accepting your data in any format.
• Reviewing 100% of claims – no sampling.
• Verifying eligibility on all claims before moving on to expert review.
• Providing solid ROI by expertly managing the collections phase.
• Following through on claim recovery findings to ensure future savings.
• Respecting existing procedures – you reduce costs without changing coverage.