Tailored Services for Health Plans and TPAs

We specialize in tailored services to improve operations and member care. Our Payment Integrity Service identifies and corrects inaccuracies to pay only for valid claims. Our Compliance Services support key activities like plan documents, non-discrimination testing, and 5500 filings, helping our partners stay current with regulatory requirements and focus on delivering quality care.

Payment Integrity Services that Maximize Savings

LBS excels in payment integrity by rigorously reviewing claims data to prevent fraud, waste, and abuse, enabling our partners to pay only for legitimate claims. In 2023, our Payment Integrity Service saved clients $135 million, a 6.85% increase from the previous year, contributing significantly to their financial health.

Our Payment Integrity Service has consistently delivered strong savings for our long-term clients. Here’s a summary of our growth over the years:

  • 2020: $96 million
  • 2021: $125 million (30% increase)
  • 2022: $126 million (steady growth)
  • 2023: $135 million (our best year yet!)

Each year, we adapt our approach to maximize savings, empowering our clients to focus on delivering quality care. This growth showcases our commitment to enhancing services and lasting client partnerships.

Peace of Mind with Comprehensive Compliance Services

Navigating regulatory compliance can be daunting. LBS offers comprehensive compliance services that provide peace of mind. Our team stays updated on the latest regulatory changes, helping clients remain compliant and avoid costly penalties. Our internal audit services include regular reviews, risk assessments, and ongoing support to ensure high operational standards.

 

GDPR Notification Content