Coalition America, Inc. (CAI), the leader in medical claim savings, launched a new product, the Questionable Provider File (QPF). QPF is one of the most comprehensive databases of physicians and allied health professionals compiled from over 600 official sources of nationwide public records.
“According to Government Accountability Office studies, losses to fraud, waste and abuse are 10-20% of all benefit dollars paid,” says Wally Ward, vice president, sales and services for CAI. “QPF can be used to look up provider information during the credentialing process as well as identifying providers that may present a claim risk to the payor. A potential healthcare risk may also be indicated for their member receiving care from a certain provider. QPF will allow clients and their members to review key information about providers to guide them in both the adjudication and provider selection process.”
Coalition America, Inc. (CAI) is the leader in medical claim savings utilizing proprietary technology, PPOs (preferred provider organizations) and negotiations to deliver significant discounts on group health and workers’ compensation medical bills. Clients interface with CAI through HIPAA compliant EDI (electronic data interchange) or the Internet to reprice in-network and out-of-network medical claims. CAI generates significant savings through the integration of Primary PPOs, Wrap PPOs, Supplemental PPOs, and direct provider negotiations.
The Atlanta-based healthcare savings company directly services over 300 clients representing more than 50,000 businesses nationwide. CAI has saved its clients over one billion dollars since its inception in 1995.
For more information about Coalition America please visit www.coalitionamerica.com or contact Libby Roper, Director of Marketing and Public Relations at 404-459-7201, ext. 5265 or firstname.lastname@example.org