TC3 (Total Claims Capture & Control) provides health care payers with a total claims management solution that seamlessly and electronically integrates internal claim management systems with external loss control programs.

Healthcare cost containment is a top-level priority as health care costs continue a six year trend of double digit annual increases. TC3 provides a proven, cost effective system which delivers reductions in claims payments by 3-10% annually.

Utilizing our proprietary claims management system, the TC3 Funnel, we target $250 billion in healthcare claims overpayments to validate payment integrity and maximize cost savings for our clients. TC3 enables our payer clients to take advantage of multiple state-of-the-art loss control technologies through a single connectivity source to prevent paid claims errors on a pre-payment basis, reducing paid claims by 3-10% annually.

 

 
 

Our Fraud & Abuse Prevention Suite is comprised of five proven and proprietary services which combine to detect and report healthcare fraud detection, validate provider claim integrity and deliver reductions in total claims costs of up to 6%.

TC3 achieves significant reductions in out of network claims by supplementing the plan's service offering with access to the nation's largest aggregated supplemental PPO network and by negotiating claims using proprietary data sets and industry benchmarks.

TC3's Decision Support Suite, which includes clinical and financial healthcare predictive modeling and web reporting gives our clients the tools and information they need to quickly and effectively make risk management decisions in a complex environment.

Vision

Seamlessly and electronically provide advanced loss control technologies and risk analytics to maximize client savings, payment integrity and operational efficiency.

Mission Statement

To create value for our clients by simplifying the delivery of loss control technologies while promoting a culture of excellence, respect and integrity throughout our company.
 
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Copyright 2006 TC3 Health, Inc.
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