Covenant Specialty Analytics
SPECIALTY REVIEW SOLUTIONS
Covenant Specialty provides Bill Review Analytics that are innovative, comprehensive, "worry-free" a true healthcare cost containment solution for our clients. Data benchmarking designed to maximize savings while minimizing provider challenges. Our focus, experience, and accomplishments in the area of specialty review are unprecedented as confirmed by an ever broadening client base. Covenant Specialty Analytics successful claim transaction cycle consists of the following key components:
WORK PRODUCT

Reviews performed based on automated objective benchmarks and standards

Third party data utilized derived from over 20 million claim transactions

Proprietary provider specific payment, cost and reimbursement criterion

Financial, medical, and legal considerations integrated in each review

Average savings
58% on penetration rate of
98% of claims received
EXEMPLARY CLIENT SERVICE

Turn-around times contractually guaranteed

Toll free phone line provided at no cost to our clients

Proactive and professional response time for all provider appeals

Client directed resolution "tenacity" levels ensures client comfort
APPEALS / LEGAL UNIT

Multi-discipline team of nurses, physicians, attorneys and negotiators

Legal escrow reserve fund sustained via a set percentage of all review fees

Retrospective negotiated settlement process utilized

Clients reimbursed at rate for supplemental settlement payments

"Tail coverage" offered for reviews affected by reinsurer carrier changes