The innovation leader in healthcare cost containment

MedSave offers a full suite of risk adjustment services for the healthcare market.

Advanced Analytics Our software utilizes proprietary algorithms to go beyond typical suspect identification. This enables us to deliver optimal ROI for our clients. Many risk adjustment vendors use analytics simply to drive volume; MedSave uses analytics to drive performance.  Learn More About Risk Adjustment Analytics> Chart Retrieval Services Unlike most competitors, we utilize multiple chart retrieval solutions including on-site scanning and remote access to EMR systems. This enables us to far surpass industry average success rates. We also provide clients with real-time access to our scheduling and retrieval system.  Learn More About Chart Retrieval Services>

Home Assessments MedSave's Medical Home Visit program combines quality execution, efficient iPad-based systems, member satisfaction and daily transparency. Our advanced technology offers clients instantaneous visibility to members' home assessments and project status.  Learn More About Home Assessments > Coding Services We deliver expert coding consulting, auditing and education to help our clients improve their financial performance, meet regulatory requirements, increase cash flow and streamline operations. Clients can review our results through access to our auditing system.  Learn More About Coding Services>

MedSave understands the diverse business process outsourcing needs of insurance payors and takes a consultative approach in applying proven, end-to-end benefits administration solutions to meet these varied needs.

Eligibility Processing We support the administration of capitated services including enrollment/eligibility, capitation reconciliations and payments, claims and encounters, referrals and authorizations, utilization and quality management, and customer service.  Learn More About Eligibility Processing> Claims & Call Center Our knowledgeable and attentive staff handles all the details from accepting claims for auto adjudication and verifying benefits to processing provider payments and claim editing. Our call center is fully equipped with tenured representatives, full IVR services and 24/7 access to a branded member web portal.  Learn More About Claims and Call Center>

Coordination of Benefits MedSave offers full coordination of benefits for eligible enrollees.  Learn More About Coordination of Benefits> Fraud & Abuse We ensure the protection of our clients by instituting fraud training, claims editing and surveillance of provider billing patterns.  Learn More About Fraud and Abuse> IT and Reporting Our advanced technology provides complete transparency and absolute compliance in process. Reports can be customized to meet our clients' needs, including state agency data files & reports, drug savings, claims trends, capitated reporting, and many others.  Learn More About IT and Reporting>

MedSave offers the most cost-effective, accurate and professional record retrieval solutions in the industry. We get you your records faster, allow you to bill for real hours, and free up your cash flow by eliminating the need to cut checks to providers.

Record Retrieval Services While MedSave has earned its reputation primarily for medical record retrieval, we are equipped to give you access to a full spectrum of records and deliver them to you in a variety of formats, depending upon your specialized needs.  Learn More About Record Retrieval Services> Plaintiff Fact Sheet Our medical and legal experts review and analyze records to create discovery documents identifying key terms and pertinent information (Plaintiff Fact Sheet, Plaintiff Profile Form, etc.).  Learn More About Plaintiff Fact Sheets>

Online Document Repository MedSave conforms fully to HIPAA and all other government regulations for medical record retrieval. Clients and providers rely on our highly secure, protected environment for the safe retrieval and processing of sensitive medical information.  Learn More About Online Document Repository> Legal System EDI MedSave offers its clients seamless access to medical record images and status information via direct connectivity to our systems.  Learn More About Legal System EDI>

MedSave develops customized benefits solutions for every employee population. We offer the products and services our clients require to maintain reasonable healthcare costs now and for the future.

Claims Administration Claims processing is treated as a mere transactional function by many payors. At MedSave, claims administration is our core business, and we apply advanced technology, high-level expertise, patient-centric processes, and attention to customer service to ensure accurate and timely payment of claims.  Learn More About Claims Administration> Customer Support Call Center We pride ourselves on having prompt, knowledgeable service. Accessible via a toll-free number, 11 hours a day, our Call Center representatives can answer any employer or employee benefits questions on any data that is housed in our system.  Learn More Customer Support Call Center>

Auditing Services MedSave can collect and review your previous TPA's data, audit claim activity for accuracy, and reimburse recovered funds. This process ensures compliance, assesses timeliness of claims payment, determines monetary penalties, evaluates accuracy of payments, and identifies potential fraudulent and abusive claim submissions, duplicates and other errors.  Learn More About Auditing Services>

MedSave has been a trusted leader in international cost management and full-service, third-party management for 20 years. Our expansive, well-established provider network and state-of-the-art IT systems ensure expedited claim settlements, fast track payments, and complete transparency.

Cost Management We help payors, employers and providers contain costs by analyzing utilization patterns to drive appropriate use of medical resources; identifying wasteful and fraudulent schemes; assessing use of generic versus brand name drugs to promote less expensive, equally effective therapies, and other methods.  Learn More About Cost Management> Second Opinion Second opinions may be invaluable in evaluating many critical medical conditions. MedSave offers a service enabling clients to seek second opinions from thousands of world-class physicians and specialists throughout the world.  Learn More About Second Opinions>

TPA Services We can provide a wide range of TPA services, including claims payment, customer service, and care management. We can also assist clients with identifying and managing costs, maximizing healthcare benefits, and improving efficiencies.  Learn More About TPA Services> Subrogation and Recovery Through our strategic partnership with a leading national subrogation firm, advanced database system and extensive experience in subrogation, we can help clients achieve more favorable economic results on travel insurance and health plans.  Learn More About Subrogation and Recovery>