Health Decisions | About Us

About Us

For over 20 years, Health Decisions has been a leading innovator in Claim Recovery and Enrollment Auditing Services. Our services deliver a positive return-on-investment and let our clients be proactive in managing their heath care costs without changing coverage.

We are Claim Recovery Specialists:

  • We pioneered the development of software technology to electronically audit 100% of paid claims in over 40 recovery areas.
  • We offer the most comprehensive and sophisticated Administrative Audit and Claim Recovery service in the group health benefits industry.
  • No other company addresses more recovery areas or reviews more claims than Health Decisions.

We are Enrollment Audit Specialists

  • We conduct complete Dependent Verification Audits.
  • We offer mail, telephone and internet-based data gathering tools.
  • We use new eligibility and other coverage data to maximize recovery collections.

We are Data Warehousing Specialists

  • We combine data from different sources into a single cohesive data warehouse.
  • We meet or exceed all privacy and security standards.
  • We share any new information with claim administrators to support future claim payment.

Health Decisions, Inc. offers “The Whole Package.