Benefits Billing Reimagined - Streamline and Automate Bill Consolidation, Reconciliation, and Payment Management

During the implementation process of a Food Services Company with 1,037 plan participants, AdminaHealth discovered that 198 plan participants were enrolled in both a PPO and HMO dental plan from two separate carriers. They negotiated back $24,948 in adjustments. With eight months left on the plan year, uncaught it would have cost the company an additional $66,528.

While onboarding a Medical Provider Association with 120 locations and 1,757 plan participants, AdminaHealth discovered the previous billing provider billed incorrect premium rates for medical coverages, did not bill for spouse and child voluntary life coverages, and did not account at all for pro-rated coverage effective dates causing a $39,379 overpayment over a two-month period with a potential $236,274 annual expense leakage.

Over eight months, AdminaHealth uncovered a Healthcare Services Organization with 837 plan participants being billed for medical premiums of 115 employees who had termed or waived coverage.

While onboarding a Pet Food Distributor with 506 plan participants, AdminaHealth discovered the sold rates for all plan participants did not match the enrollment causing a $1,518 monthly overpayment.

While onboarding a Hotel Group with 264 plan participants, AdminaHealth discovered the group was paying healthcare premiums for 8 employees who no longer worked at their properties.