image Refunds on Paid Claims image CASE STUDY: 56-year-old male with rotator cuff tear

Health Payer Consortium Health Payer Consortium

CASE STUDY: $260k Savings on Double Lung Transplant

An eight-year-old child received a double lung transplant. The total claim was billed at $1,200,000 with an existing network discount of 25%. HPC reviewed the claim for compliance and clinical issues and identified $260,000 in deniable charges.

Using HPC’s services, the final cost of the claim was reduced to $708,000.

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