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claims

14 items

  • With Self-Funding, What Happens if a Plan Participant Incurs an Unexpected, High-Cost Claim That Could Break the Bank?

    This is where stop loss insurance comes in as a risk management tool for self-funded plans. It doesn’t insure your plan

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  • What are peer independent claim reviews and when are they needed?

    Let’s back up for a minute. One of the ways that self-funded health plans administered through Cypress differ from many fully

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  • What is this concept of defensive medicine all about?

    Do you remember the old episodes of ER when it seemed someone was always getting slapped with a malpractice suit? These

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  • What are the most common types of health care fraud?

    With an estimated $700 billion or more in health care waste each year, there are definitely some fraudulent practices to be

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  • Do hospitals really overcharge for something as simple as a dose of aspirin?

    Yes. The media reports aren’t exaggerating. We see real instances of this in our claim review process every day. The one

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  • How do I know if I was charged a fair price for a recent in-patient procedure?

    This has long been one of the hot-button questions in health care. What should my medical care cost? Here’s the problem:

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