What does becoming a PredictDx subscriber mean for TPAs?
Two out of every 1,000 people will have claims of $100,000+ and to stay competitive in an environment of larger and larger claims, Third Party Administrators need better data and tools to help minimize claim impact.
PredictDx is a subscription-based service which details billed and paid charges, risks, accepted treatments and other information related to the costliest catastrophic diagnoses, enabling healthcare payers and their partners to more accurately predict liabilities, set reserves, assess the need for cost containment, validate standard of care treatments and eliminate the countless hours spent searching for credible financial and clinical data.
With PredictDx TPAs Can:
- Achieve up to $194,000 in savings from a typical 1,000 covered life pool by proactively managing reimbursement pitfalls
- Reduce or eliminate the reliance on and fees from outside vendors (underwriting, negotiation, cost containment)
- Create a new profit center by putting negotiation fees back in your pocket.
- Negotiate from a position of strength using data analytics and by understanding what treatments are currently being paid at.
- Eliminate the quote bottle neck associated with the labor intensive process of researching and quantifying costly diagnoses
- Join the growing trend of TPAs who are solving the catastrophic claims problem with technology and data analytics products
Position yourself as an indispensable TPA
Click to Start Your Trial Today