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Case Studies
Incorrect Patient ID/Billing Duplicate:
Examination of claims data for a local government in Florida:
Primary (patient) surgery 01/24 $285,565
Dependent (spouse) surgery 07/24 $285,565
Uncertainty in provider billing led to both primary and dependent being billed for surgery. TPA paid both.
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To date, ClērBlū has identified $30.4 million
in claim payment errors.
$5 million directly impacting employees.
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