Our primary focus is on identifying and correcting payment errors to recover overpayments. We pinpoint claims that have been overpaid, rectify the errors, and ensure you receive the reimbursement you're entitled to.
This process forms the core of our services because it's where the majority of expense issues and mistakes are found. Typically, payment errors can account for 3% or more of your total claims expenses.
Todd Whitney is a Health Insurance Actuary who grew up and lived in New England. He has worked for numerous managed care organizations before founding two Health Care Plans on his own. This extensive experience has provided him with a unique perspective on administering and adjudicating managed care contracts. For the past ten years, his company has primarily assisted large physician groups and hospital systems with their managed care contracts.
Whitney Healthcare has identified, validated, and ultimately recovered over $15 million in provider claims and positive incentive fund adjustments for their clients through secure automated claim recovery algorithms. The company offers services strictly on a contingency basis and, as an actuarial firm, advocates for clients with payers while sharing findings to enhance staff productivity.
Scott McCarthy is a highly experienced corporate finance and corporate treasury executive with over 30 years of service at a number of banks and financial institutions. His roles have predominantly focused on the development and implementation of various finance and treasury functions and programs. Successful execution of his responsibilities has required managing numerous functions within organizations and developing key external relationships. Scott's experience also includes participation in the execution and implementation of numerous corporate and portfolio acquisitions. He has a well-proven track record of accomplishments across a wide variety of finance and treasury functions and transactions.
Kraig Hespeler is a results-oriented health insurance executive with broad-based skills in sales, consulting, and underwriting. He has held leadership positions including Director of Sales at Harvard Pilgrim Healthcare, VP of Employee Benefits at Marsh, and Director of Underwriting at United Healthcare. Kraig is recognized as a leader with strong industry knowledge, high integrity, and excellent consensus-building skills. He thrives in a fast-paced, entrepreneurial environment that includes a high level of senior management contact.
15302 Harbor Drive, Madeira Beach, Florida 33708, United States
Open today | 09:00 am – 05:00 pm |
15302 Harbor Dr. Madeira Beach, FL 33708
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