Insuring a Bright Future

Orbit Technology reviews insurance claim documentation to ensure accuracy, policy compliance, and payment appropriateness. Our main goal of an insurance claim auditing company is to identify any errors, discrepancies, or potential fraud in the claims process, and provide result findings and feedback. Orbit works with payers to identify areas of healthcare reimbursement misuse and works alongside them to make recommendations for process improvements. These actions will facilitate ensuring that healthcare payers are making fair and accurate payments, while also reducing the risk of financial losses due to fraudulent or inaccurate claims. Insurance claim auditing companies typically work with a range of insurance providers, including health insurance companies, property and casualty insurance companies, and life insurance companies.

Orbit Technology uses trending data obtained from the payer to easily identify areas of possible overpayment. During the insurance payment accuracy audit, auditors review insurance payments to ensure payments made are accurate, complete, and in compliance with relevant policies and regulations set by the payer. The purpose of the audit is to identify errors and risks in payments made to providers and to identify opportunities for improvements to payer payment practices.

During an insurance overpayment audit, the auditor will review claims data, payment records, and other relevant documents to identify potential overpayments. This may involve cross-referencing payments against contract terms, policy limits, and medical records to determine if the payment was appropriate. The auditor may also use statistical sampling techniques and data analytics to identify outliers or patterns that suggest overpayments may have occurred.

If overpayments are identified, the auditor will work with the payer and the provider to recover the overpaid amounts and make recommendations for improving payment processes to prevent overpayments from occurring in the future.