Medical cost containment, subrogation

Insurance companies and employers are well informed about high costs for medical services in foreign countries and especially in the United States.

The Cost Containment Department of Global Voyager Assistance keenly focused on cost saving for insurance companies and corporate clients.

In the USA in medically reasonable cases GVA refers patients to out-patient centers (Walk-In clinics, Urgent Care) which allows avoiding extremely high costs in Emergency Rooms of large hospitals. If the patient is already admitted to the hospital GVA monitors these cases receiving medical documents on regular basis and comparing compliance of medical costs with the medical care required.

Each item of a medical bill is subjected to a thorough assessment in terms of capacity and cost of medical care, so to regulate and reduce medical costs.

We offer cost containment as a service for insurance companies and corporate clients.

We provide:

• Services throughout the United States
• An ability for cost containment without a framework contract for travel assistance
• Interaction with medical facilities only under straightforward agreements
• Cost saving of invoice base as well as professional fees and tax levy in certain states
• Efficiency in mutual settlements with medical facilities
• Balance closing documented confirmation

We have many years of proven experience in medical cost containment. Not a single case of overbilling goes unnoticed from expert doctors and claims handling specialists. Each episode is thoroughly investigated with the involvement of medical center and treating doctor for getting best results.

Examples of cost containment cases in USA:

• Tri-City Medical Center, California, Vista
• Hospital bill for in-patient case – 58 086,00 USD
• Insurance coverage limit – 100 000,00 EUR
• Achievement – reducing costs to 25 713,00 USD

• Robert Wood Johnson University Hospital, New Jersey, New Brunswick
• Hospital bill for in-patient case – 125 233,24 USD
• Insurance coverage limit – 100 000,00 EUR
• Achievement – reducing costs to 21 058,90 USD

• Memorial Regional Hospital, Florida, Miami
• Hospital bill for in-patient case – 34 630,00 USD
• Insurance coverage limit – 100 000,00 EUR
• Achievement – reducing costs to 16 144,00 USD

In cases of road traffic accidents with responsible party having civil liability insurance policy GVA provides insurance companies with another service – subrogation. Subrogation Department works in close co-operation with European, American and Asian specialized investigation companies.

GVA Fraud Investigation Department including doctors, advisors and insurance security professionals investigates attempted insurance medical billing fraud.