Highlight Health’s pre-payment claims review and repricing, post-payment claims review and recoupment, and fiduciary compliance services include numerous, embedded subservices. Upon request, we can provide an ala carte service to an existing client or another organization in the healthcare ecosystem. These services include:
- Consulting services by one or more of our experts
- Training programs
- Expert testimony
- Itemized/line-item bill review
- DRG validation
- Medical record coding review
- Data mining
- Hospital bill auditing
- Legal and regulatory compliance
- Plan documents & contracts reviews
- Medical record retrieval & analysis
- Participant engagement
- Access to price transparency machine readable files (MRFs)
- Assistance interpreting MRFs