Health Management Systems

Our Services

Managed care organizations benefit from several HMS services tailored to address their needs. These include:

Identification & Recovery - HMS identifies valid third party liability coverage for individuals currently enrolled in a managed care plan, and recoups payment.

Cost Avoidance - HMS provides managed care plans with verified, re-verified, and/or terminated policy information so they can avoid paying for services that are the responsibility of another liable third party.

Case Management - HMS provides all resource-intensive subrogation functions, such as recovering payments from casualty insurers or from Workers' Compensation sources.

Program Integrity - HMS offers a variety of tools to identify, verify, and recover inappropriate payments.

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