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CLINICALLY VALIDATED FRAUD, ABUSE AND OVERPAYMENT PREVENTION > A Verisk Health Company

OncologyClaim Insight

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Oncology fraudulent claim software from HealthCare Insight

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Page 1: OncologyClaim Insight

CLINICALLY VALIDATED FRAUD, ABUSE AND OVERPAYMENT PREVENTION >A Verisk Health Company

Page 2: OncologyClaim Insight

powered by biologics, iNc.

Improved patient outcomes, therapeutic analysis and cost management for oncology claims. >

Page 3: OncologyClaim Insight

Elevate Care | Improve Satisfaction | Manage Costs

your Therapeutic Solution for Rising

Oncology case costs.

Page 4: OncologyClaim Insight

Enhance patient care through improved outcomes, increase provider satisfaction and manage oncology claims costs.

“OncologyClaim Insight™ guarantees that the most appropriate plan of treatment is delivered and that patients receive the highest level of clinical support and care.”

– Brian SmithHealthCare Insight®

Elevate Care | Improve Satisfaction | Manage Costs

powered by biologics. iNc.

Page 5: OncologyClaim Insight

Results> Elevate patient care and outcomes> Increase provider satisfaction levels> Realize a tangible ROI of more than 8:1

Features> 100% of oncology cases reviewed for eligibility> Plan of treatment reviewed to ensure compliance with evidence-based guidelines and best practices> Oncology Certified Nurses (OCNs) guide patient care> Prompt and accurate claim reimbursement> Drugs and claims analyzed to prevent overbillings> Differentiated approach optimizes outcomes> Physician approval and detailed savings reports> Access to expert oncologist advisory panel> Powered by industry leader Biologics, Inc.

Next StepsContact us for a complimentary Cost Reduction Analysis.Call 1.877.619.5557 or email [email protected] today.

Cancer Care StatsCancer is a complex and costly disease. By 2013, cancer care costs could reach up to $130 billion annually.

(In

Billi

ons)

tHe

ProblemtHe

Solution

$109.6

$115.6

$122.3

$129.9

www.hcinsight.com

Cost Projections for Cancer Care 2010–2013 / 5% of personal health spend.

2010 2011 2012 2013

Page 6: OncologyClaim Insight

HealthCare Insight10897 S. River Front ParkwaySuite 200South Jordan, UT 84095

Phone 877.619.5557Email [email protected] www.hcinsight.com