PAYER SOLUTIONS
Credit Balance Recovery
Let us show you how we identify, recover and even prevent overpayments
TREND accurately & efficiently resolves overpayments and credit balances
We work your credit balances for you, so that you can reallocate
your people to cash generating activities. Our flexible model
allows us to supplement your denial management team when, where, and as you need it.
TREND’s modules analyze insurance paid claims data, COB primacy & transactional data to produce optimal outcomes for our customers.
Total amount a large health system can generate in new credit balances annually
Average age of unworked credit balance accounts
Amount an average sized provider can generate annually in new credit balances
Up front cost to you. 100% risk free, contingency fee based on actual recoveries
TREND has identified
Recoveries
Million in Overpayments
Let’s talk about Payer Challenges
Credit Balance Recovery
Credit balance recovery is a critical component of a mature payment integrity program at any payer. The identification of the claim overpayment occurs outside of the paid claims and eligibility data within the payer’s environment and inside provider data sets. 85-90% of all credit balance overpayments are not identified by the payer’s internal or vendor programs, thus credit balance recovery programs are the perfect supplement to any mature payment integrity program.
Flexible and Focused
Collaborative and Transparent
Reduce Provider Abrasion
Seamless Workflow
Ingest Data
Analyze & Validate
Approve/Deny
Resolve & Correct
Reporting & Analytics
CASE STUDY
Credit Balance
Plan Overview
State Medicaid Plan
Number of Members – 200K+
TREND reviews, validates and interacts directly with Provider on the Payer’s overpayment inventories that require approval for retraction or check recovery. TREND’S provider access and relationships expedite collections for our clients.
TREND History
Contracted payer for Credit Balance Service replacing another vendor state-wide in 2019
Key Value Drivers
Reduced payer refund denials by more than 50%
On-site representative reduces provider abrasion and helps create efficiency for Payer and Provider! Faster collection turnaround vs. standard mail/telephone collection process at lower fees that traditional collection vendors.
Annualized Recoveries
Result = 38% Increase in Recoveries
Credit Balance & Overpayment Collections
TREND’s modules analyze insurance paid claims data, COB primacy & transactional data to produce optimal outcomes for our customers
Analysis and Recovery
TREND obtains system access and reports from Providers to identify, analyze and recover client overpayments on accounts residing in a credit balance state.
Seamless Integration and Resolution
We provide resolution to all assigned credit balances, not just refunds, following existing Provider workflows.
Technology-Enabled Solutions
TREND’s comprehensive, technology-enabled solutions and robust reporting allows for deep root cause analysis to help prevent future overpayments.
Getting started with Overpayment Collections
Direct Interactions and Expedited Collections
TREND reviews, validates and interacts directly with Provider on the Payer’s overpayment inventories that require approval for retraction or check recovery. TREND’S provider access and relationships expedite collections for our clients.
On-site Support = Faster Collection
On-site representative reduces provider abrasion and helps create efficiency for Payer and Provider! Faster collection turnaround vs. standard mail/telephone collection process at lower fees that traditional collection vendors.
Get better results, new concepts, automated intelligence
Your Credit Balance Recovery Solution
Credit balance recovery has historically been done the same way by the same people. Now that all changes with TREND. We look at credit balance recovery as an opportunity for true collaboration. When done right, this service is a win-win-win for healthcare providers, insurance payers and TREND.
We look at recovery in the same light. Our on-site relationships with healthcare providers affords us the opportunity to assist them with all types of recovery including those related to credit balance overpayments and payer and vendor identified overpayments. We can do it all!
Payer #1
Multi-State BCBS Plan Multi-Service
“I love TREND’s portal. It is super easy and friendly and has all the information I ever need. I have never had an issue with them. They are very responsive to our questions, produce any information we are looking for, and they are very thorough.”