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HDM Offers Solution to Health Care Fraud Cited by CNN and Health Plan Week
Date:8/11/2009

y be providers or plan members or friends of members -- than for plan sponsors to institute an ongoing system of surveillance by an independent third party.

HDM has launched a service called BenefitsWatch, which enables a self-insured company to provide its clients with quarterly reports based on monthly data feeds of paid claims from insurers. "BenefitsWatch catches fraudulent actions before they become big, often unrecoverable problems," McSweeney explained. "It can actually link Rx and Medical claims to track prescriptions back to the appropriate diagnosis, if there is one."

With BenefitsWatch, HDM analyzes 100 percent of supplied claims in a client customized data warehouse, against "exceptions" or deviations from plan documents. BenefitsWatch also applies HDM's own proprietary benchmarks to analyze three critical areas of plan performance... compliance, budget and cost and utilization.

For more information about HDM and BenefitsWatch, visit www.hdminc.com.


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SOURCE Healthcare Data Management, Inc.
Copyright©2009 PR Newswire.
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