EthiCare Advisors, Inc.
Medical Claims
Settlement Services
It’s likely that one or two claims tell the story behind a group’s loss ratio. All our services are geared to provide that missing financial case management in the form of on-going coordination and communication between the MGU/Carrier, TPA, Case Management, broker and provider to maximize savings. Medical Case Management is half the picture, Financial Case Management is the other half. Our services include:
- In-Network & Out-of-network claims settlement including a signed release.
- Direct, long-term discount agreements for patients with on-going treatment.
- Medical bill review/audit focusing on accurate coding and billing.
- Dialysis and oncology claims settlement specialty programs.
- FactorSolutions™cost containment for patients with hemophilia and other bleeding disorders.
- Strategic Pharmacy Management™
- Pricing Data (U&C, AWP & Medicare).
If you’d like to download a summary of our services, please click the link below:
Download EthiCare’s Summary of Services.
DON’T SEE SOMETHING YOU NEED? We are always here to help. We frequently add new services and perform numerous special projects for our clients. Call us today to discuss your project and let us explain how we can help.
