Overpayment Recovery Service

Have you ever heard of “found money?” Our company will provide just that for your PRC department! You have boxes of claims that have been paid and forgotten about. MLR Tribal Solutions, LLC will resurrect those old claims and determine what actually SHOULD have been paid on those claims. Then, we will work on your behalf to collect those overpayments from the facilities. There is no statue of limitations on this, so we can resurrect claims going back to the effective date of this program, July 5th, 2007.

MLR
Maximizer

Achieve 10%-20% additional savings from current pricing process.

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Overpayment recovery service

Review previously paid claims and collect overpayments.

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COB
Adjustment

Eliminate paying employee's deductible, copays, and coinsurance amounts.

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Repricing physician HCFA 1500 claims

Achieve Medicare allowable rates or we will negotiate on your behalf for best payment.

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