The First And Most Effective
The Rawlings Group has introduced multiple services and innovations to improve paid claims accuracy and overpayment recoveries for our health plan clients. Our pharmacy claims recovery program is the most recent of these important service innovations.
The Rawlings Group was the first to offer recovery services for pharmacy claims. To this day, we remain the largest in this segment of the market.
In addition to being the largest, we are also the most effective. Using our advanced data mining systems and innovative research techniques, Rawlings is able to identify and recover more pharmaceutical overpayments than what any other organization can deliver.
Learn What Rawlings Can Do For You
We invite you to call our Business Development Team, at 877-426-4174. After answering your questions and learning more about your business, we can provide estimated financial projections so you can see for yourself the benefits of working with The Rawlings Group—the industry leader in medical claims recovery services.
Subrogation & Workers' Compensation
Rawlings was the first company to offer subrogation outsourcing services to the healthcare industry. We have been providing those services on a national scope since 1985. Today, Rawlings is the leading subrogation and workers’ compensation recovery company in the nation. Further, our company pioneered most of the major innovations that are now industry standards.
Medicare and Commercial Coordination of Benefits
Rawlings provides comprehensive Medicare and Commercial COB (coordination of benefits) claims review and recovery services. We focus on the most complex and difficult to identify investigations. We combine our state of the art technology platform and legal and industry expertise to deliver outstanding financial results to our clients. In addition, the updated Medicare and commercial primacy information we provide allows our clients to pay claims properly and save millions of dollars through future cost avoidance.
Drug Claim Payment Integrity & Medicare Compliance
Since launching the industry’s first pharmacy COB recovery outsourcing program, Rawlings has refined the processes and systems necessary to perform well in this targeted segment. No other company offers the operational success that Rawlings has been able to achieve.
Mass Tort and Class Action Litigation
Rawlings introduced the health insurance industry to the concept of participating in mass tort claims to recover damages when a defective product, device, or drug causes damages and medical expenses to thousands of people. The first case was the multi-billion dollar claims in the silicon breast implant litigation. Today, we represent over 80% of the private health insurance market in such cases.