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ODS Boosts 2010 Savings to Over $9 Million with TC3's TruClaim(SM) Payment Integrity Suite

-- Leading Pacific Northwest health plan reduces fraud, waste and abuse threats and maximizes savings --


News provided by

TC3 Health, Inc.

May 31, 2011, 07:00 ET

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IRVINE, Calif., May 31, 2011 /PRNewswire/ -- TC3 Health, Inc., the premier provider of fraud, waste and abuse detection services for healthcare payers, today announced they helped ODS save over $9 million in 2010 as its provider of payment integrity services.

Portland, Oregon based ODS is the Pacific Northwest's leader in affordable health plan coverage. Its subsidiaries include BenefitHelp Solutions, Dentists Management Corporation, Dentists Benefits Insurance Company and Northwest Dentists Insurance Company.

"We committed to expand ODS services into areas of potential fraud, waste and abuse identification as well as network pricing for out-of-area claims," said Tracie Murphy, senior vice president at ODS.  "In addition, we wanted to save money for our groups and members.  All goals have been surpassed on all levels with TC3.  The company helped us streamline our internal processes and reduce administrative work by integrating with external data sources. We are confident we've retained a highly-respected long term partner for more efficiently detecting fraud and controlling costs."

According to Murphy, ODS has remained a loyal customer for more than seven years due to TC3's state-of-the-art technology, professionalism, passion for their products, and commitment to customer service.

"We are pleased with the superior savings and service results TC3 has delivered to ODS as their payment integrity vendor, and we are so grateful to retain quality payer clients that aggressively manage risk like ODS," said Tim Huke, vice president, sales and marketing for TC3 Health. "Any company managing medical claims should have a fraud, waste and abuse solution in place to protect their employers' plan assets."

Founded in 1955, ODS is a multi-faceted organization that provides dental, medical, and professional liability insurance products, along with a variety of business services including dental practice management software and benefits administration.  Headquartered in Portland, Oregon, ODS serves the healthcare needs of over 260,000 members throughout the United States.  With innovative, evidence-based health plans, diverse networks and member programs, and superb customer service, ODS continues to be the health leader throughout the Pacific Northwest.  Visit www.odscompanies.com for more information.

Since 2000, TC3 Health has provided integrated loss control solutions to healthcare payers on a pre-payment and post-payment basis through its TruClaim(SM) Payment Integrity Suite, an all-in-one suite to validate payment integrity and maximize savings. TC3 electronically integrates claims transaction systems with pre-payment fraud, waste and abuse overpayment identification technology, out-of-network claims management systems and data analytics and reporting tools. Healthcare payers benefit from state-of-the-art loss control systems delivered through a single connectivity source to prevent claims errors and overpayments, while reducing paid claims by as much as 6% annually. For more information, visit www.tc3health.com.

SOURCE TC3 Health, Inc.

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