Our Solution

Up until now your choice
in the identification of
overpayments has been limited to one of two
offerings:
- pre-packaged
PC software that offers little in the way
of customization to meet your business
needs and often requires expensive
database servers and staff to run it
-or-
- huge
consulting firms that don't provide
personalized service and take a "one
size fits all" approach, in
addition to requiring minimum dollar
thresholds just for the
"privilege" of doing business
with them.
A
customized approach to your unique requirements
Because no two claims systems are alike,
Pilot Information Systems provides a unique
service to identify duplicate claims by working
with you to utilize different methodologies to
find overpayments. We start with our
proprietary software and customize the system to
meet your requirements.
And
it's Risk Free
Also
unique to our organization is our compensation
policy. Pilot Information Systems doesn't
believe you should pay for software or services
whose results don't fulfill your expectations.
Once we identify your total overpayments
you are free to walk away if you don't feel the
expected recovery is sufficient enough for you
to pursue.
Cost
For our ASP service we charge a flat fee of 5%
net payable for each claim we
identify as an overpayment. What this
means is that you pay a predictable, consistent
rate regardless of the savings you incur. A
majority
of our competitors charge 25% of the
savings found for each identified
duplicate claim, ineligible claim and NCCI
coding error. For those
licensing our proprietary software, the licensing fee is based upon a
flat per member/per month fee schedule.
This fee covers unlimited support and eliminates
the need to pay for monthly maintenance fees.
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