James Herrington's Contact Details

James Herrington's Company Details

Healthcare data Management, Inc.

King of Prussia, PA, US • < 5 Employees
Professional Services software

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. The 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.We 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:Other party liabilityIncorrect coinsurance benefit levelsServices paid for excluded benefitsBilling and mis-codingDuplicate claims paidEligibility provided for terminated membersUse this information to pinpoint problem areas where process enhancement is needed. Uncover cost-saving opportunities and confirm compliance with contract terms and plan provisions.