Hospital Services

Uninsured Services

Through our outreach programs, we handle benefit eligibility for uninsured and underinsured patients. We stand up for them and help them, guiding them through the benefits process using our advocacy skills and knowledge of eligibility programs. The result: the patients get better coverage, healthcare providers get reimbursed, while Medicaid and state assistance programs often save money.
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Third Party Liability Reimbursement

We work to reduce costs by identifying claims where other policies are primary, then pursuing those policies under our third-party liability reimbursement services. At the time of treatment authorization or at claim receipt, Outreach Services can audit claims related to accidents or injuries and investigate for primary indemnity policies. If we find primary coverage, we will pursue the policy to make payment.
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Pacific Recoveries

  • Contingency-based audit recovery services
  • Advanced technology to audit all claims

Pacific Recoveries is a fully comprehensive company providing hospitals with managed care underpayments review, appeals and collections.

For more information, contact:
Fredrik Andreasson

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Health Plan Services

SSI Disability Advocacy

Outreach Services works with state Medicaid agencies and Medicaid managed-care plans, saving them money by identifying patients who would receive better benefits from Social Security and Medicare.
For the individual, that means access to better health coverage and better benefits. For health plans and Medicaid managed-care plans, it means lower costs for high experience enrollees. Everyone wins.
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Optima

Our advanced, proprietary Optima technology audits and identifies all potentially underpaid claims. Then our expert claims auditors and billers conduct all necessary follow-up, re-billing and appeals to successfully collect.

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Moga Consulting Group

Moga Consulting Group is a professional services firm dedicated to fulfilling our clients’ needs for continual & immediate assistance in IT, Operational, and Management support. Moga Consulting Group’s strategic staffing division provides our clients with the highest qualified IT consultants available.
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