Healthcare Horizons: Technologies



		Today’s database technologies have rendered sample claims audits obsolete, but many payers have resisted the move toward a more thorough validation of self-insured claims. Healthcare Horizons is helping America’s leading companies change this market dynamic. With healthcare transactions still lagging behind manufacturing and banking in acceptable error rates, the ability to apply systematic and electronic reviews proves extremely valuable to at-risk entities. Healthcare Horizons utilizes SQL based programming to apply the expertise of our professionals across the entire data set of paid claims for employers. This electronic review is not limited by the size of the claims file. Healthcare Horizons personnel have reviewed individual data sets in excess of $2 billion. The critical dynamic is that the professionals involved have the healthcare claims and systems knowledge to know where to look and the technological and recovery experience to turn the findings into cash for our clients. This process is what we call Search and Rescue.