Healthcare Horizons
Specialized healthcare claims auditing and out-of-network fee negotiation for self-insured employers, ensuring accuracy and mitigating excess costs.
| Date | Investors | Amount | Round |
|---|---|---|---|
* | N/A | Acquisition | |
| Total Funding | 000k | ||
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Healthcare Horizons operates as a specialized healthcare claims audit firm, concentrating exclusively on the needs of self-insured employers.
The firm delivers comprehensive healthcare claims auditing, analysis, and reporting services. These services engage with all national and most regional payers to ensure thoroughness in identifying discrepancies.
A significant component of their offering is out-of-network fee negotiation. This service targets providers, such as those for air ambulances, to reduce or eliminate surprise bills and prevent employee balance billing, thereby protecting employees from unexpected financial burdens.
By focusing on accuracy and detailed examination of claims, Healthcare Horizons assists employers in managing healthcare costs effectively. The firm's approach is geared towards identifying erroneous payments and recovering funds, directly impacting the financial health of client organizations.
Clients are typically large self-insured employers seeking to verify the integrity of their healthcare spending and improve their financial outcomes through meticulous oversight.
The business model centers on providing these expert auditing and negotiation services, which directly contribute to cost savings and financial efficiencies for their clientele. Healthcare Horizons emphasizes its role as a trusted entity in navigating complex healthcare billing, aiming to return healthcare dollars to the client's bottom line.
Keywords: Healthcare Auditing, Claims Auditing, Self-Insured Employers, Cost Containment, Fee Negotiation, Surprise Billing Reduction, Employee Benefits, Healthcare Finance, Claims Analysis, Payer Audits