Large Claim Review AcuEdit
Europ Assistance manages high dollar, high complexity cases
for our Clients when an patient is treated in the US
Ability to Negotiate
• Leveraging Travel for Treatment International Business
• Superior Catastrophic Experience
• Centers of Excellence Relations
• Pre-Funding Capabilities
• Dedicated Negotiation Team
• Expanding Contracted Network at Preferred Rates
Europ Assistance’s Medical Team
• 400 medical staff members at Europ Assistance
• 18 medical staff members dedicated to Large Claim Review Services
• Each claim over US$20,000 is reviewed by a medical staff member
Focusing on the large claims has a positive impact on our Client’s bottom line
Real results for US TPA client on negotiated out of network claims:
January 1, 2008 - June 30, 2008 |
| Billed Charges |
$5,268,780 |
| Percentage of Savings |
31.6% |
| Total Saved |
$1,664,934 |
Europ Assistance Accuedit
Europ Assistance Bill Auditors individually review all claims for additional
savings.
Services include:
• Non-Covered Expenses Carve Out
• Appropriate Charges and Billing Errors
• Experimental Non-FDA Approved Audit
• Complete Medical Hospital Audit
• Reasonable and Customary Review
Europ Assistance believes that no bill should be paid without a discount
Currently, our out of network bill review and audit services provides a savings of 25% off of billed charges.
Signed off provider agreements on all negotiations and bill audits
• No risk to the patient
• Average turnaround time of 5 business days on all negotiations
• Each negotiation is treated with an open mind with the goal of obtaining a fair reimbursement for both parties
Compare our results to your current solution
Europ Assistance Technological Capabilities
• Europ Assistance’s state of the art client web portal available at no cost
• Full EDI capabilities
• FTP web sharing folders
• IP based phone system for 24/7 hotline
24/7 Assistance Hotline
• A Europ Assistance customer service representative is always available to our Clients
• At least one medical staff member is always on call
The foundation and core of our product has always been large claims
