Healthcare Data Mgmt.

Company Name: Healthcare Data Management, Inc.
Address: 555 Croton Road, Suite 350
King of Prussia, PA 19406
Contact Name/Title: Bill Conlan, President
Email: bconlan@hdminc.com
Phone: 610-491-9800 ext 224
Company History: Healthcare Data Management, Inc. (HDM) is the leading provider of fully-integrated benefits auditing and financial reporting solutions specifically designed for the self-insured employer. Our proven technology of sophisticated auditing solutions, paired with our cutting-edge data mining, provide immediate and long-term savings to many of America’s leading employer groups.
Company Profile: HDM works with Corporations such as Ford , Harley Davidson, BMW, Kodak , Raytheon , Textron, Cingular , and Royal Caribbean . HDM works with Public Sector clients such as the States of North Carolina, Maryland, Wyoming, Montana and the Centers for Medicare & Medicaid Services .
Testimonials / Key Clients / Top Past Findings: HDM’s clients requires assurance that health plan administrators are paying claims accurately and appropriately according to plan design and terms of the administrative agreement. To achieve this goal, HDM conducts comprehensive audits of plan administration, including paid claims and provider discounts.

  • Determine compliance with contract terms and plan documents
  • Assess financial accuracy of paid claims and administrative processes, including error and fraud detection
  • Evaluate accuracy of payments and identify overpayments, duplicates and other errors.
  • Identify control weaknesses, their causes and suggest process enhancement/cost savings prospects
  • Review client’s and administrator’s role regarding plan administration and offer recommendations
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