Empowering healthcare for a brighter future.
Crescent Health Solution’s vision is to provide technological improvements for health plans and medical groups to assist in reducing medical loss ratio (MLR).
Use Crescent Health’s technology to create a chase list of members and diagnoses that are guaranteed to improve your risk factor scores (RAF scores).
Use Robots to update your provider demographics, to enter authorization data, etc. No breaks or holidays needed.
With Crescent Health handling your recoveries, we can eliminate overpayments of claims due to:
Low or no coordination of benefits with primary payers
Pharmacy 340B price discounts
Incorrect contract rate configuration
Our Technology Driven Services
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Medicare Risk Adjustment
Risk adjustment optimization services uncover the hidden potential within your member population
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Claims Overpayment Recovery
Utilize technology to identify overpayments and to calculate the fastest refund timeline
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Task Automation
Reduction of your FTE count while increasing productivity and accuracy. No breaks or holidays.
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Business Intelligence
Get all of your key performance indicators (KPIs) refreshed and delivered daily
