Over the years we've helped customers meet a variety of challenges...

Problem

Solution

Charges were Not Given Credit of the Lower Drop-Down Deductible

Reinsurer Reimbursed the Additional $45,000

Another examination of an EOB revealed that while the charges were correctly adjudicated, the allowable expenses were held to the $100,000 deductible and not the drop-down deductible of $50,000. The client was not aware of this error.

We notified the reinsurer’s claims analyst and the additional amount was sent to the client.

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