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Archive for the ‘Prothentix News’ Category

Right of Reimbursement: There’s No Time Like The Present

Early in my career I needed to find a vendor to recover approximately $2.5 million in medical claim overpayments for one of my clients.  After meeting with a couple of cost prohibitive recovery vendors my client’s legal counsel suggested I meet with a well-known subrogation attorney who just recently started-up a subrogation company.  The attorney […]

Narrow Networks: Great Idea or White Elephant?

At company parties we sometimes get hooked into a gift exchange game called the White Elephant.  While the rules do vary the object is still the same and that is to take home the best gift.  In the beginning (and during) there is invariably a lot of time bickering about the rules and how to […]

Claim Audits: Are They Necessary?

I remember this story like it was yesterday.  After graduating from college, I accepted a job for an internal audit position for a major airline.  Not long after being hired, my boss told me they had recently conducted a claim audit for their previous medical carrier.  He took me to the storage room that contained […]