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Medicare isn’t perfect, but it’s a language that all contracting experts can understand. That makes Medicare an effective reference point when starting a discussion on direct contracts. Watch ClaimTalk to hear Jay Kempton, Shane Cerone and Brad Hansen discuss strategies for

ClaimDOC team members spent the evening at @MealsfromtheHeartland, proving that when we work together, we can pack a punch against hunger! Thank you to everyone who helped make an impact! #ClaimDOCculture #MealsfromtheHeartland

Flying high in July! Grateful for our team members who are celebrating another year at ClaimDOC!

Employee benefits is a game in which HR doesn’t get a scoreboard to know if they are winning or losing. Vendors have successfully executed a gameplan around offering trendy, feel-good solutions with little clarity around results. In this month's Industry Perspectives, Shay Butler

Happy Independence Day! Our offices are closed today so our staff can celebrate America's birthday, but we will reopen on Monday. We hope everyone stays safe and has a great day celebrating with families and friends. #4thofJuly #IndependenceDay

Onboarding with a new insurance company can be a nightmare but not when you have someone like Leah to make the process easier for all involved. She's a key member of our rock-star implementation team that provides strategic, personalized support in the onboarding process. Way to

What makes a nontraditional health plan work? It starts with listening to members and creating specialized teams to give them what they need. On a new episode of ClaimTalk, Sharla Mallett, one of the members of our direct primary care team, talks with Amy Pellegrin and Stephanie

A summer tradition done the ClaimDOC way: great food and great people. Special thanks to our grill masters Mark and Ben, and to everyone who brought a dish. Our summer grill out is a flavorful reminder of what makes this team special.

Big congratulations to Anna on earning her AAPC Certified Professional Medical Auditor certification. This achievement reflects her expertise in: • Medical documentation and coding compliance • Fraud prevention and risk analysis • Audit methodologies and quality assurance

Taking care of its members is what any good health plan should do, but it’s also important to build relationships with providers. On a new episode of ClaimTalk this week, find out why keeping both sides happy is a key component of a direct primary care strategy. #ClaimTalk

During this month's live episode of Self-Funded With Spencer, ClaimDOC's own Omar Arif posed a great question about fiduciary responsibility for self-funded plans that use PPO networks. As Kristen Rivers shares, employers need to be educated about what it means to be a fiduciary

With nontraditional health plans, customization isn't optional — it's essential. On this month's ClaimTalk, Amy Pellegrin and Stephanie Mohr sit down with Sharla Mallett, a member of our direct primary care team, to explore how DPC is reshaping member experiences.

Health plan renewals can be frustrating but not when they cut costs for both employers and employees. Be a rebel. Choose a health plan you'll be excited to discuss at renewal time. #WhyClaimDOC #ReferenceBasedPricing #SelfFundedHealthcare

In this month’s Audit Spotlight, Cynthia Swanson dives into the often-overlooked world of medical billing. From wildly varying physician charges to coding errors and egregious fees, she explains why transparency matters and explains how patients and employers alike can take

Provider participation is an obstacle with many reference-based pricing health plans, but not with DirectAccess+. Of the nearly 11,000 nominations that have been submitted through Pave the Way this year, slightly less than 96% have accepted the plan. That's RBP done better.

Direct primary care can often lead to stronger relationships between providers and patients. In the latest episode of ClaimTalk, Sharla Mallett, a member of ClaimDOC’s direct primary care team, visits with Amy Pellegrin and Stephanie Mohr about how DPC plans are redefining the

Great turnout at the ClaimDOC Blood Drive today! Huge thanks to LifeServe for bringing the Bloodmobile to the ClaimDOC office and to everyone who showed up and rolled up their sleeves — your generosity makes a real impact. A special shoutout to West Bank for having some of their

Six days in the hospital for aortic aneurysm surgery could have meant sky-high costs. Instead, DirectAccess+ helped the employer save $49,300.63 and the member avoid $9,860.13 in out-of-pocket expenses. hubs.la/Q03z8Klg0 #DirectAccessPlus #ClaimAuditing #MedicalBilling

Congratulations to Chelsea Schaefer on passing her certified professional coder exam! Chelsea works exclusively with providers, often coordinating care from direct primacy care providers to a specialist. The CPC credential will help her understand and communicate care needs more

ClaimDOC’s 4v4 Volleyball Tournament was a total smash! Huge congratulations to our winners, and a big thank you to all the participants who brought their A-game, energy and team spirit. Everyone truly served up their best! #ClaimDOCculture