The power of today`s most sophisticated
Transcription
The power of today`s most sophisticated
Since 1988, Trover Solutions has provided health insurers nationwide with a full range of customized solutions. With more than 800 dedicated professionals, including the staff of Gibson & Sharps PSC, Trover Solutions is confident that we can develop and perfect a solution that will improve your bottom-line. Contact us to learn more about a partnership with Trover Solutions. • • • • • • • Subrogation outsourcing Subrogation automation Payment integrity solutions Coordination of benefits Provider bill audits Data mining Litigation management Subrogation Recovery Solutions Trover Solutions provides healthcare subrogation to a number of the nation’s largest health plans, representing recoveries on behalf of millions of lives through proven subrogation strategies and processes. Trover Solutions has hundreds of employees directly involved in our health care subrogation operations. We negotiate on behalf of our clients to obtain the maximum recovery available. Trover Solutions, Inc. Trover Plaza 9390 Bunsen Parkway Louisville, KY 40220 Trover Solutions is privately owned and is headquartered in Louisville, Kentucky. Trover maintains operations in the following cities to provide more responsive service and to audit and operate more efficiently to our clients nationwide. Pittsburgh, PA Milwaukee, WI Encino, CA Tulsa, OK Payment Integrity Solutions Trover’s Payment Integrity services are designed to ensure accurate payments are made to the correct providers. We ensure the actual services received were in accordance with the client’s policies and agreements. This service covers a wide array of inpatient, outpatient, professional, pharmacy and ancillary queries on adjudicated claims data. Our Payment Integrity suite of solutions also includes post payment coordination of benefits, contract compliance, traditional overpayments (paid after term, duplicate payments, retroactive payments), as well as auditing (HBA and DRG) services and data mining. Healthcare Subrogation & Payment Integrity 502-214-1340 www.troversolutions.com The power of today’s most sophisticated resources for claims recovery www.troversolutions.com Trover Solutions provides superior subrogation and payment integrity solutions for payors in the healthcare industry. With a comprehensive range of fully integrated, customizable services – including subrogation, coordination of benefits, eligibility verification and provider bill audits – Trover Solutions develops cost-containment solutions to meet and exceed each of our clients’ expectations . Our approach is straightforward – by analyzing big data, we provide cost containment solutions that combine advanced technology, people with specialized experience, and a proven process. These three cornerstones allow us to focus on our clients as partners, and in turn, help us maximize our clients’ recoveries. Technology • Troveris® – a proprietary, online claims screening technology that provides extensive, unique functionality and reporting • Image technology, creating a paper-free environment • Advanced analytics which help reduce false positives in claim selection • Continuous claim selection realignment • Robust reporting and root cause analysis • ClientLINK - real time access to files and claims status People • Professionals that bring expertise and industry knowledge • Specialized industry experts (i.e. coders, registered nurses) to create the most effective solutions • Overall company tenure of 11 years and 12 years tenure with senior leadership • Process • Early proactive identification and investigation of your files • Local, US-based call center produces an above average response • Robust reporting, customized for each client • Collaborative approach with our clients Comprehensive in-house legal resources with a national network of attorneys