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Cleveland Clinic medical bill watch-list.
Top-ranked academic medical center headquartered in Cleveland, OH. ~17 hospitals + ~220 outpatient sites.
Common billing patterns we catch
- Duplicate evaluation-and-management codes across hospital + physician claims
- Facility fees on Main Campus visits that weren’t flagged at scheduling
- Out-of-state patients getting OON-tier benefits on what was actually in-network
Context on Cleveland Clinic billing
Cleveland Clinic's billing is generally well-organized, but its size makes coordination across departments imperfect. The most common pattern Audra sees is duplicate charges across the same admission when a procedure shows up on both the hospital UB-04 claim and a separately-billed physician 1500 claim. Patients who get specialty referrals between Cleveland Clinic departments sometimes find themselves billed by multiple cost centers for what looked like a single visit.
Got a Cleveland Clinic bill in front of you?
Upload it. We'll run it through our audit and flag any of the above in plain English.
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