Reimbursement Claim Investigation
Reimbursement claims are often filed after a patient is discharged from a non-network hospital or when cashless facilities are unavailable. Unlike cashless claims, these are prone to "fabricated billing" because the oversight during the hospitalization period is minimal. This creates an opportunity for claimants to submit forged bills, manipulated discharge summaries, or claims for non-existent treatments.
Aziza specializes in retrospective investigations, going back to the source to verify every document submitted for reimbursement. Our goal is to ensure that the insurance company only compensates for genuine medical expenses.
