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245 Fischer Avenue, Suite D-1
Costa Mesa, CA 92626
phone:(714) 689-1900
fax:(714) 689-1935
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Private |
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| Founded |
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| www.tc3health.com
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| Research Sector |
Healthcare Services |
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| Summary Description |
| Electronic Health Claims Management Systems |
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| Management |
| Doug Chisholm, CEO; Robert Gerger, CFO
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| Keywords |
| HP Conference, HealthIT, Healthcare IT, SoftwareSystems, claims, health management, decision support, HP Conference |
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| Description |
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TC3 (Total Claims Capture & Control) provides health care payers with a total claims management solution that seamlessly and electronically integrates internal claim management systems with external loss control programs. |
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| Products / Services |
Utilizing its proprietary claims management system, the TC3 Funnel, the company targets $250 billion in healthcare claims overpayments to validate payment integrity and maximize cost savings for our clients. TC3 enables its payer clients to take advantage of multiple state-of-the-art loss control technologies through a single connectivity source to prevent paid claims errors on a pre-payment basis, reducing paid claims by 3-10% annually.
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| Technology / Differentiation |
| The company's Fraud & Abuse Prevention Suite is comprised of five proven and proprietary services which combine to detect and report health care fraud detection, validate provider claim integrity and deliver reductions in total claims costs of up to 6%.
TC3 achieves significant reductions in out-of-network claims by supplementing the plan's service offering with access to the nation's largest aggregated supplemental PPO network and by negotiating claims using proprietary data sets and industry benchmarks.
TC3's Decision Support Suite, which includes clinical and financial health care predictive modeling and web reporting gives clients the tools and information they need to quickly and effectively make risk management decisions in a complex environment. |
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| Market / Customers |
Healthcare cost containment has become a top-level priority as health care costs continue to climb. TC3's clients represent various insurance companies and health plans, including: HMOs, health and welfare trust funds, self-insured employer health plans, municipalities, and medicare payers.
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| Status |
| With several years in business, TC3 continues to grow significantly with an average yearly increase of over 50% for the last three years. The publication Healthcare Finance News reported in August 2008 that TC3 Health will provide HDM Corp. payer clients with technology and services for detecting overpayments and handling recoveries on claims with abusive coding or fraudulent patterns. |
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