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Reducing healthcare costs for self-funded employers

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claims

January 5, 2022 By Franklin Baumann, MD

Do all physicians have a medical degree?

Employers aiming to reduce health care plan costs could go back to the dictionary when it comes to their summary plan descriptions. From reviews of …

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July 14, 2021 By SmartLight News Desk

Identifying Provider Fraud in Employee Healthcare Claims

An overview of fraud, waste, and abuse Employers with self-funded employee healthcare plans often see the rising cost of healthcare as the price of doing …

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August 19, 2019 By SmartLight News Desk

Phantom billing: Can you spot it in your claims?

Three seemingly unrelated imaging providers based in FL were identified in a self-funded employer’s medical claims for what was later verified as phantom …

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Plano, TX 75093
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Fax: 214-501-1208

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SmartLight Analytics combines the best inferential analytic models with a team of analytic  and clinical experts to find fraud, waste, and abuse in self-funded employer health care plan claims data.
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SmartLight Analytics has been named finalists in D CEO Magazine Excellence in Healthcare Awards 2020 for Outstanding Service Innovation.

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