• What others say they do, MedSave does . . . and we prove it, by giving clients full transparent access to our back-end systems. You'll clearly see how our advanced technology enables us to deliver retrospective and prospective services with weekly SLA milestones we guarantee!    Learn More >

  • MedSave offers insurance payors proven, end-to-end benefits administration solutions. Our innovative processes and scalable technology enable our clients to grow quickly and effectively, whether they are entering new markets or expanding within existing ones.    Learn More >

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The innovation leader in risk adjustment solutions

MedSave USA is one of the nation's fastest-growing full-service providers of Risk Adjustment services, offering a suite of Analytics, Record Retrieval, Prospective Home Assessments, and Coding products. These services are offered on a unique and proprietary technology platform that is designed for excellence in results, quality, and transparency. MedSave recognizes the importance of performance in these critical endeavors and provides the most and the deepest performance guarantees in the industry. Further, we provide full transparency into all that we do for clients; allowing them to adapt quickly and maximize financial and clinical results. We invite you to learn how MedSave can help you increase performance in risk adjustment.

Risk Adjustment Services

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

Risk Adjustment Advanced Analytics

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

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

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

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>

Litigation and Insurance Services

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

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 Sheets

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

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

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>

Third Party Administration (TPA)

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 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

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

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>

International Cost Containment

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

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 Opinions

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

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

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>

URAC Accredited