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Amit Shmerling Email
Technical Product Owner . Thomson Reuters
Albuquerque,, NM
Locationa*************@thomsonreuters.com
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Employees:
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$6.3BAbout
Formally, HDM, Inc: We turn massive amounts of employees healthcare claims data into actionable information, which empowers our customers to take corrective actions and negotiate settlements with TPA's and PBM's. \r\n\r\nThe Audit & Compliance service offering from Thomson Reuters is a comprehensive suite of capabilities providing an assessment for both the financial accuracy of claims adjudication and the proper administration of the benefit from a plan design perspective.\r\n\r\nWe can uncover two main types of problems quickly and efficiently, including administrative errors and plan design issues. At the core of this service offering are the BenefitsAudit and BenefitsWatch solutions that can help to uncover these common errors:\r\n\r\n\r\nOther party liability\r\nIncorrect coinsurance benefit levels\r\nServices paid for excluded benefits\r\nBilling and mis-coding\r\nDuplicate claims paid\r\nEligibility provided for terminated members\r\n\r\nUse this information to pinpoint problem areas where process enhancement is needed. Uncover cost-saving opportunities and confirm compliance with contract terms and plan provisions.Thomson Reuters Address
555 Croton RoadAlbuquerque,, NM
United States