US Beacon - 3x3x3 Challenge with Kimberly Carleson

US Beacon finds ineligible charges in 99% of medical claims we review. Our mission is rooted in a belief that ethical billing practices are essential to fostering trust and delivering quality care.

Transcription:

What is US Beacon?

US Beacon is a medical cost containment company that specializes in reducing medical bills by 30 to 40 percent for in-network, and 70 percent for out-of-network. US Beacon has been reviewing and negotiating bills since 1995. Many plans don't understand they are overpaying for their health care. Premiums don't need to keep increasing to cover the high cost of medical bills. In today's health care landscape, where costs are continuously rising and billing complexities are increasing, and the fee-for-service model incentivizes more procedures, medical billing has become a complicated, expensive process. US Beacon plays a crucial role by ensuring accurate billing and reducing unnecessary expenses. US Beacon works on behalf of the plan by reviewing bills prepayment, which helps employers, insurance providers, and patients manage health care costs more effectively. This contributes to financial sustainability, improves access to necessary medical care, and ensures fiduciary duty.

How is US Beacon different?

US Beacon is independently owned and operated, free from the influence of private equity or investors. US Beacon was chosen as the exclusive medical bill review vendor for Omnia Partners, which adds value in a procurement process. Once a bill is reviewed, we run it through our AI system. Next, the bill is reviewed by doctors and nurses in a detailed line-by-line review to identify any discrepancies. Our appeals rate is less than one-fourth of one percent, and our dedicated response team handles any appeal. We ensure effective resolutions without balance billing the patient. Our process is straightforward and designed to take on the burden. We work with your carrier or TPA to receive bills prior to payment. The bills are submitted via HIPAA-compliant encrypted email or an electronic connection. We provide a corrected UB-04 and itemized statement, eliminating ineligible charges within 24 to 48 hours. If needed, we can assist in amending your plan language to authorize bill review. It's seamless. Once US Beacon is implemented, we start saving you money and ensure your bills are accurate and fair.

Who is a good fit for US Beacon?

US Beacon can serve self-funded clients in all 50 states, including corporate and government entities. We bring significant savings on overall spend for the plans we work with. Our diverse clientele includes hospitals, municipal leagues, foundations, health shares, just any self-insured plan seeking an independent third-party review before final payment to ensure accurate and fair payments, which saves money and fulfills their fiduciary duty.

Duration: 02:51

Posted: Wednesday, July 31, 2024