Clinical Risk & Medical Management
Our Clinical Risk & Medical Management team is dedicated to working in partnership with you to manage claims and decrease risk for all of our Accident and Health partners.
Contact
Clinical Risk & Medical Management
Merry Gann
Accident & Health
Merry.Gann@cfins.com
Contact our Team
Reclaim@cfins.com
General Inquiries
AHMarketing@cfins.com
Downloads
C&F ReClaim Brochure
C&F ReClaim Referral Guide
Request for Cost Containment
C&F ReClaim Referral Form
Subscribe to the Medical Management Newsletter
Solutions & Services
Stop Loss & Excess Medical
Ancillary & Supplemental Benefits
C&F ReClaim
We assist our clients with reducing healthcare spend and can significantly impact high-cost claims while maintaining or improving medical outcomes. C&F ReClaim is more than just cost containment for stop loss and specialty risk programs such as student and travel-related claims. Read below to understand what C&F ReClaim can do for your organization.
C&F ReClaim:
- Combines the expertise of our in-house clinical professional team with a select group of top medical management vendors
- Includes bill reviews to identify billing errors and negotiations with providers for both in and out of network claims when prices are outside our cost guidelines
- Is aimed at improving and managing costs
- Allows you to reclaim control over your large-claim exposure
- Is built to complement any existing medical claims management program
- Improves overall transparency of price versus cost of healthcare
- We stay involved throughout the process to assist with providing comprehensive solutions that result in improved clinical outcomes.
We work for and on behalf of our clients and policyholders by:
- Providing experienced nurses for Consultations when questions arise or additional information is needed regarding treatment being provided or cost
- Limiting claim expense from a management and a bottom line standpoint
- Determining the best financial outcomes and cost savings for the policyholder
Medical Cost Containment
- ESRD/Dialysis
- Neo-Natal
- Cancer
- Specialty Pharmacy
- Prolonged Hospitalizations
- Hemophilia
- Organ Transplant
- Behavioral Health Management
- Rare Diseases, such as HAE
- Gene and Cell Therapies
- CAR-T Cell Therapies
Advisory & Consulting Services
- Medical necessity review
- Experimental investigation review
- Transplant network contract analysis
- High-cost specialty drug review and management
- Egregious billing review and management
- Assistance with early identification of complex cases
AH-3705