Records we examine
- Claims and remittance records, including adjustment information
- Repricing records and negotiated discount documentation
- Relevant plan terms, agreements, and payment correspondence
CAPABILITIES
Reimbursement Analytics
Examine payments, adjustments, repricing, and negotiated discounts in the context of the records and terms relevant to the claim.
Questions the analysis addresses
- How was the reimbursement amount developed?
- Which payment and adjustment patterns require further review?
- Where do documented terms and payment outcomes appear inconsistent?
DECISION SUPPORT
Make the findings usable.
Clear reimbursement analysis and documented discrepancies that help providers, plan sponsors, and counsel evaluate potential recovery opportunities and determine next steps.
Discuss your claims analysis needs.
Contact Accord to discuss the records, questions, and analytical support relevant to your matter.