Cognizant Complex Claims Services

The Complex Claims Services 2020 report aims to highlight the strengths and weaknesses of vendors in this space to give providers a better sense of where things are going in this rapidly changing area

Performance

Complex Claims Services 2020

19 May 20 | Alex McIntosh and Boyd Stewart

Some healthcare claims are harder to manage than others—in particular, out-of-state Medicaid, motor vehicle accident, VA, and workers’ compensation claims. In order to focus their resources on other claims, provider organizations often contract on a contingency basis with specialized firms who have ample experience handling one or more of these complex claim types. Typically, these firms achieve higher paid-claim rates and cash recovery than organizations would on their own. This report is meant to help provider organizations find the right firm for them by examining which firms manage which types of claims and how well each firm performs for clients.

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