Blue Links for Employers

Introducing Prepayment Inpatient Claim Review

To help manage costs and improve the accuracy of claim payments, we've partnered with Equian, a nationally-known payment integrity vendor, to review certain inpatient claims prior to payment. Effective April 1, 2018 for fully insured accounts and January 1, 2019 on renewal for ASC accounts, inpatient claims that meet identified criteria will be reviewed prior to payment to ensure accurate reimbursement.

You don't need to take any action to be included in this new process. Qualified claims will be automatically identified for review and adjusted based on any findings.

For more information, please contact your account executive.

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