Blue Cross Blue Shield Health Plans

Connolly Healthcare is a leader in assisting Blue Cross Blue Shield plans with the recovery of improper claim payments.

• Teams of professionals are dedicated to individual clients and form a partnership to recover the most money possible across all issues that affect BCBS plans.
• Our auditors use advanced technology with a proven audit process to identify and recover improper payments others might miss.
• We are successful working with BCBS clients to identify unique cases involving Blue Card claims that often go undetected.
• We conduct root cause analysis and recommend solutions to improve operational efficiencies and reduce the occurrence of future errors.

Maintaining provider relationships is an essential aspect of Connolly’s recovery auditing. Because Connolly auditors come from all levels of the healthcare industry, they understand the importance of provider and member relationships. From phone calls, to recovery letters, to highly accurate claims, companies trust that Connolly's experience will guide to treat providers as valuable business partners.

Connolly provides recovery audit services in the areas of:

• Retro-termination
• Coordination of benefits
• Multiple payments
• Contract compliance
• Medical Chart Review
• Provider billing compliance
• Pharmacy
• Neonatal