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.
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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
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Troveris® – a proprietary, online claims screening technology that
provides extensive, unique functionality and reporting
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Image technology, creating a paper-free environment
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Advanced analytics which help reduce false positives in claim
selection
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Continuous claim selection realignment
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Robust reporting and root cause analysis
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ClientLINK - real time access to files and claims status
People
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Professionals that bring expertise and industry knowledge
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Specialized industry experts (i.e. coders, registered nurses) to
create the most effective solutions
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Overall company tenure of 11 years and 12 years tenure
with senior leadership
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Process
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Early proactive identification and
investigation of your files
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Local, US-based call center produces an
above average response
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Robust reporting, customized for each client
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Collaborative approach with our clients
Comprehensive in-house legal resources with a
national network of attorneys