Eliminating fraud, waste and abuse saves more than $1 of each $10 in health care
(Grand Rapids, Mich. - May 9, 2011)
Priority Health wants to help you stay healthy, save money and have a good health care experience. As part of this commitment, we're focused on eliminating avoidable costs.
For example, more than $1 out of every $10 spent on health care in the United States is due to fraud, waste and abuse in the health care system. That's why we have a special team fighting fraud, waste and abuse by:
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Helping you understand the negative impact on the health care system and what you can do to reduce them.
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Auditing suspicious claims (medical and pharmacy) to ensure your claims are billed accurately.
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Ensuring the primary payer always pays first through coordination of benefits, third party liability to pay claims (workers' comp, personal injury, auto, accident), recovery of duplicate claim payments and ensuring Medicare pays when appropriate.
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Investigating and reviewing reports of potential fraud, waste and abuse.
You can help by reporting anything that seems like medical fraud or abuse. Examples may include being charged for services you didn't receive or someone "borrowing" their friend's Priority Health ID card to get health care.
You can report problems or concerns anonymously — there's no need to tell us who you are. Learn more now.
