Steven Shepherd Email & Phone Number

ClaimReturn delivers the nation's most experienced team of industry professionals, partnering with employers, third party administrators, medical providers, health systems, and insurance carriers in a uniquely collaborative approach using today's most advanced technologies to review plans, payments, protocols, policies and procedures for compliance with state and federal laws, current industry standards and existing contractual agreements. Over the past 25 years our team of experts has performed compliance-centered examination of records for self-funded employers, third-party administrators, Unions, carriers, MEWA's and Federal and State health plans.Our unique approach and expertise provides our clients with a comprehensive compliance review combined with a review of 100% of all medical claims transactions. ClaimReturn identifies improper payments and recovers dollars lost due to errors in benefit claims administration, provider billing, application of network fee schedules, industry payment guidelines, duplicate payments and much more.What type of errors does ClaimReturn identify?• Contracted Fee Schedule• Duplicate Payments• Industry Processing Guidelines• Payor Coding Edits• Coordination of Benefits• EDI Claim Cycle• Claim EditsClaimReturn utilizes highly specialized technology coupled with the industry's most experienced claims inspectors to identify improper overpayments to health care providers typically representing 2 - 8% of an employer's annual medical claims expense.Why use ClaimReturn?• NO RISK Service Agreement• ONE PLATFORM for Compliance, Identification and Recovery Services• NO NEGATIVE impact on employee plan participants• BEST IDENTIFICATION. ClaimReturn's expertise in claims investigations increases identification of improper payments by up to 70% compared to other recovery firms!• BEST RECOVERY RATE. ClaimReturn's team of recovery specialists recover in excess of 80% of all identified overpayments to providers.