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WHY SAGEBRUSH?

Sagebrush recovers more of your medical claim overpayments and shows you how to lower costs on an ongoing basis. Electronic auditing is our core business, not an adjunct to other services. It is far and away the most effective method for healthcare cost recovery.

SageSuite™ — the electronic auditing solution

Which solution makes more sense?


SageSuite Other electronic auditing solutions
Claims as small as $25 Claims of $1000 or more

Unlike other electronic auditing solutions, SageSuite detects errors in claims as small as $25. Based on our experience, we can expect to identify recoverable payments equal to 0.5% - 2.0% of paid claims, far in excess of the cost of our services.

Most software is designed to identify errors only in claims of $1,000 or more. SageSuite not only identifies overpayments in smaller claims, it electronically detects patterns of overpayment and abusive billing to help you prevent errors from recurring.

SageSuite detects errors that cannot reasonably be expected to be found during claims processing. We also show you how to avoid coding errors in the future.

lighthouse

Electronic audit benefits:

  • 100% data reviewed electronically - not extrapolated from samples
  • 100% validation prior to notification of recovery requests
  • Exact analysis of pattern payment errors, benefit provisions, claims, etc.
  • Smaller, higher-volume recoverables
  • Retrospective savings and prospective cost avoidance
  • Millions of claims reviewed for increased proficiency and detection

Our auditors – managed care specialists

Our auditors are healthcare and managed-care specialists with years of experience. They'll spend less time learning your business and more time looking for your money. They know what to look for and what data to test.

Is it any wonder that Sagebrush is the claim-recovery vendor of choice for a number of regional and national insurance companies, including many managed care and Blue Cross organizations?