Self-reported Refunds

Manage, track, submit and report back overpayments to payers more efficiently

The Challenge

Health plans and health care providers are working more collaboratively to find sources of common ground to reduce their administrative costs while increasing the quality of care to their members and patients. Payment and refund reconciliation is a critical area in which payers and providers have significant financial interest and presently must absorb unnecessary costs.

The Solution

Manage, track, submit and report on your inventory of participating insurance payer refund requests. TRENDSubmit is a refund reconciliation platform that provides your credit balance resolution analysts the unique capability to link a refund to the paid claims of our various insurance payer partners and electronically submit a refund in real-time.

Average days for insurance payers to review and adjust a claim

%

Average credit balances resolved via refund

Average number of accounts worked per day by a TREND recovery analyst

Ask about your NO COST options

Our Service Modules

Below are the service modules found in TRENDConnect which support our Self-reported Refunds service:

TRENDSubmit

Provides health care providers with a platform to electronically submit self-reported overpayment recoveries back to connected insurance payers. Providers will be able to search, link and submit claim details, applicable documentation and specific recovery explanations directly to insurance payer adjusters for review and reconciliation. This process creates a streamlined process that enhances the communication between providers and insurance payers.

Collaborative and Transparent

Manage, track, submit and report on your inventory of credit balance overpayment recoveries. Our application provides real-time status updates, an accurate audit trail and comprehensive reporting to provide key insights while more effectively managing this costly business requirement.

Compliments Your Existing Process

The utilization of the application is easy to implement and is provided at no cost. Providers will work through their existing processes to identify credit balance overpayments then submit for payer review and approval through TRENDSubmit.

Credit Balance Resolution Services

TREND employs a very skilled and experienced team of recovery analysts that provide credit balance resolution services to providers in your state. Our analysts can work as an extension of your business office to reduce existing labor costs and allow providers to focus their efforts on revenue generating activities. In most cases, these services are provided at no cost to the provider.

TRENDResolve is a game-changer

Secure, cloud-based application

Our unique solutions are built on an advanced HIPAA-compliant, cloud-based technology platform that helps our provider partners to reduce, redundancy, minimize cost and manage human resources more effectively.

Built from the ground up

Our application is a comprehensive, technology enabled solution created from a configurable suite of business process modules designed to minimize the cost and maximize the efficiency of the provider’s revenue cycle.

Dynamic dashboard reporting

TRENDResolve provides real-time status changes, an accurate audit trail and comprehensive reporting to provide key insights while more effectively managing this costly business requirement.

  • Success rate in TREND quality assurance 95% 95%
  • Increase in recovery analysts productivity 20% 20%
  • Reduction in average days to resolve 32% 32%
  • Providers indicating a preference to TREND over other credit balance vendors 100% 100%

Are you TRENDING UP?

You want us on those credit balances. You need us on those credit balances. We use words like honesty, transparency, collaboration. We use these words as the backbone of a company founded to focus on you, our client. You use them as the values required by your vendors. We absolutely have the time  and the inclination to meet with you for 30 minutes, give you a demo of TRENDSubmit and answer your questions. Either way, you are entitled to a credit balance vendor focused on maximizing their value to you!

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