HMO Reinsurance is a form of insurance coverage that helps health plans protect themselves from the financial losses resulting from catastrophic claims, minimizing the financial impact of these unforeseen or unanticipated medical events.
One of the largest advantages you have available to you when working with Gallagher is our claims department.
Some of our claims services include:
- Our claims department works with your IT staff to receive your claims data
- The data is analyzed for accuracy, then prepared for claims filing
- We complete carrier claim forms and submit them to the carrier
- We follow up for reimbursements, review explanations of benefits post payment for accuracy, and file appeals where necessary
Additional benefits of working with Gallagher:
- The secure encrypted transfer of data between client and carrier
- Analysis of your current coverage for effectiveness
- Calculate reinsurance allowable based on policy valuations methods
- Diagnostic reports
- Specific reports such as vendor over payments
- Reinsurance recovery report preparation