Claims Department Assistance

Many capitated medical providers have their own claims department or have third party administrators paying out claims to contracted providers and out of area providers. Often, an audit will disclose claims that are overpaid or even duplicated with no effort to recover funds. Recovery must be performed in a timely manner or any opportunity to recover such funds is lost. 

As payors, MCA clients are not always able to make corrections to a onetime provider or those no longer contracted, and these cases are often overlooked until the statute for recovery has passed. MCA has the personnel and experience to provide these insurance recovery services to our clients.