advocating for you and your employees
Corrected Hospital Billing Error Saves Patient $150,000
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Corrected Hospital Billing Error Saves Patient $150,000
The Client
Animal Hospital with over 130 enrolled employees
The Challenge
An employee’s spouse was diagnosed with COVID-19 and hospitalized for over 45 days. As the patient’s health improved, the hospital filled up, so the employee’s family worked with administrators and staff to transfer the them to a new facility. This facility was out-of-network, but a GAPP exception was granted – allowing the patient to stay at any hospital within a 75-mile radius at in-network rates.
When the patient safely returned home and received their bill, they were shocked to see the amount they were charged. The GAPP exception was not included in their explanation of benefits, making the family responsible for all out-of-network rates that should have been waived.
The Solution
A Caravus Client Advocate and Strategic Advisor reached out to the carrier and explained the circumstances of the situation. They were able to work with the carrier to enforce the GAPP extension, and corrected the billing mistake.
The Outcome
After the billing mistake was corrected, the employee and their family saw a total savings of over $150,000.
Upwards of 80% of Medical Bills Contain Errors
spending hours on hold with insurance companies figuring out medical billing mistakes increases stress and hinders productivity.
Every employee of a Caravus client has direct access to their own dedicated Caravus client advocate. Giving our clients and their employees support when a health coverage question or problem arises is a top priority. Our advocacy team constantly perseveres towards turning a difficult matter into a positive outcome.
The story doesn’t end here.
We’ve insured healthier tomorrows for other clients as well.
Our Approach
At some point in our lives, we all become patients. Caravus not only arms your employees with easy to understand benefit communications and technologies, but also backs them with dedicated advocates that will turn any negative healthcare matter into a positive outcome.
Benefits Communication
Built by our in-house team specifically for businesses like yours, Caravus Connect makes HR technology previously only available to Fortune 500 companies work for you — giving you the ability to streamline all your benefits administration processes in one easy to use platform.
Employee Advocacy
Gone are the days of waiting on carrier hold lines. The Caravus advocacy team is highly trained to assist your employees and their dependents with questions and issues regarding claims, billing and benefits.
Employee Experience Technology
Give your employees the power to make better healthcare decisions with one easy to use mobile application.
