ARC

Review Services L.L.C.

 

Healthcare Audit and Recovery Program

Errors and overpayments can occur for many reasons.  Among them are adjudication errors, overbillings, or even fraud.  Through ARC's Healthcare Claim Audits, we analyze virtually every aspect of the billing and adjudication process of your company's health claims to identify and recover overpayments. 

Your specific plan design determines the exact number of audit checks. A typical audit encompasses at least two years worth of claims data. 

ARC’s audit includes the following areas of review:

  • Employee and Dependent Eligibility

  • Billing

  • Reimbursement

  • Network Discounts

  • Third Party Liability

  • Plan-Specific Limitations & Exclusions

  • Dental Claims

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