Power your HEDIS scores with clean claims
At HOMELINK®, the proof is in the data. We make sure “care delivered” is also “care recorded.”
Accuracy guaranteed
Clean medical claims start with clear visibility. HOMELINK carefully audits every claim and every bill, because accuracy is the only answer we accept.
Dedicated to preventing healthcare fraud, waste, and abuse
HOMELINK provides the right care, at the right time, in alignment with each member’s plan benefits. Appropriate utilization prevents fraud, waste, and abuse.
From provider credentialing and monthly exclusion checks to medical claims validation rules and utilization thresholds, our systems catch irregular patterns before payment ever happens.
We continuously monitor medical claims activity using system edits, audits, billing pattern analysis, and service verification — including EOBs and direct member outreach when needed. When something doesn’t look right, we investigate quickly to review and resolve issues.
HOMELINK has a dedicated healthcare Fraud, Waste, and Abuse Committee that regularly reviews cases, trends, and corrective actions — with clear escalation paths to senior leadership.
Every concern is taken seriously. Reports are reviewed promptly, investigated within defined timeframes, and resolved with documented corrective action. When healthcare fraud, waste, or abuse is confirmed, we work directly with payers and regulators to ensure proper notification, recovery, and compliance.
All HOMELINK associates receive regular healthcare fraud, waste, and abuse training. Concerns can be anonymously submitted and are protected by strict non-retaliation policies.
Cost containment strategies that work
You don’t have to pay a premium for great service. See how much HOMELINK could save you while still delivering above-and-beyond care and member satisfaction.
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Your Projected Savings With HOMELINK