Group Health Cost Containment Solutions

Health Decisions, Inc. has more than thirty years of experience helping employers, trusts, plan fiduciaries, and health payers discover, recover and remove the waste, abuse, and fraud in their specific plan.

Health Decisions’ proven approach is used coast-to-coast by all kinds of organizations and their advisors. Our services include:

• Claim Audits and Routine Plan Monitoring – We examine 100% of claims to pinpoint overpayments and confirm areas working well, and our results can be acted on. In addition, we can routinely monitor plan-endorsed service standards and flag claim payment errors for quick resolution.

• Dependent Audits and Eligibility Verification – We validate 100% of plan enrollment information using several enrollment-related services offered through Part D Advisors, Inc.

Our track record demonstrates a solid return on investment delivered with a minimum of time from the self-funded plan or its advisor.

We have been and remain 100% HIPAA compliant. Our services support positive employee relations.

To discover how our products can turn data into dollars, please explore the menu above.