A "flagged" claim/bill means there may be potential for savings. The claim may have been flagged due to overbilling, a denial, or as a result of key words such as ER, surgery, or procedure. Members with Gold and Platinum membership plans can request the assistance of a HealthLock auditor.
If you recieve an email/text notification about a "flagged" claim or bill:
- Log in to your member portal.
- If you would like HealthLock to investigate the claim/bill, click ‘LOWER MY BILL’ on the flagged claim.
- When prompted to accept the 33% shared savings, click Accept.
- The case will be assigned to a HealthLock auditor for resolution and will notify you of the outcome.
- If reduction or savings is found due to overbilling or error, you will be charged 33% of the savings.
- If reduction or savings is found due to fraud, you will NOT be charged.
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