Cap Check Client Testimonials
In March 2011, SynerMed conducted an audit/review for one of our IPA/Hospital plans in Cap Check to audit eligibility to cap payments since 2009. We had ~200 members that were eligible and provided services. Claims had been processed but SynerMed had not been paid our capitation. We submitted the information to the health plan and received a retroactive payment for well over 6 figures for those 200 member lives for the time period of 26 months. That is ROI!
SynerMed, Inc.
For several months, we had one health plan reporting more members on the eligibility report but not in our cap reports. Using Cap Check, we were able to identify members that we were not receiving payments. We easily provided examples to the health plan for their review. This resulted in a substantial amount of cap dollars recovered.
