Sometimes a self-funded plan or their stop-loss carrier learns about a large claim after it is paid. Or, maybe, they learn of a large claim pre-payment, but are unable to delay the payment. Either way, they are left with the feeling that they may have overpaid the claim, perhaps by hundreds of thousands or even millions of dollars.
Highlight Health can help. We will analyze the claim and determine if the plan has overpaid. When appropriate we will assist with, and even lead, recoupment efforts.