Press Release: Health Decisions Sells Eligibility Verification Business

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Thursday, June 27, 2019 11:35:00 AM Categories: News and Views

PLYMOUTH, MI – June 12, 2019 – Health Decisions, Inc., a company with more than 30 years helping employers and trusts discover, recover, and remove waste, abuse, and fraud in their health plans, announced the sale of select assets to Part D Advisors, Inc. (PDA) in Livonia, Michigan. The assets are related to Health Decisions’ Dependent Eligibility Verification and Ongoing Eligibility Maintenance services. Health Decisions pioneered dependent eligibility verification services, and have been conducting dependent audits since 1993.

Health Decisions’ experienced Dependent Eligibility Audit team, in-house Call Center, and proprietary software will now be under the PDA umbrella. PDA customers will benefit from Health Decisions’ proven approach for verifying all dependents listed on the health plan, and discovering any ineligible dependents, which drive up health care costs for employers. Health Decisions’ “high-tech, high touch” method has resulted in an average response rate of 97%, without a single employee appeal.

PDA stores and backs-up all data in a Michigan-based data center with compliance ratings of SOC 1, SOC 2, and SOC 3.

“Health Decisions has an excellent reputation,” said David Alexander, Part D Advisors’ Executive Vice President. “Both organizations excel at handling enrollment data for employers, trusts, and governmental employers and combining our experience will bring synergies to the benefits marketplace that include exceptional response rates and high ROI.”

Judy Mardigian, Health Decisions CEO, said, “We are excited to entrust our Dependent Eligibility Verification services to Part D Advisors. They are a top-quality organization, and this sale will enable an even better level of service for our clients and the benefits eligibility marketplace.”

The privately held firms did not disclose terms of the sale, which closed on May 3, 2019.  Health Decisions’ two other lines of business, Claims Audits and Routine Plan Monitoring (RPM), will continue under the Health Decisions, Inc. name.

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