This insurance product is designed to protect providers from the effect of catastrophic financial losses incurred when providers contract to accept financial risk to care for a defined set of patients. With more providers being forced to take on more risk, the need for Provider Stop Loss Insurance is paramount.
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