As innovators in Cost Management, ConSova delivers industry leading solutions in healthcare cost containment. Our objective is to improve our client’s financial performance by applying our data mining and investigative efforts to identify refund opportunities in duplicate payments and contractual overpayments.
ConSova’s Dependent Eligibility Verification services deliver immediate savings to healthcare plans without affecting the level of benefits currently offered to subscribers and their eligible dependents. It costs healthcare plans an additional 2% to 5% to cover claims submitted for ineligible dependents. ConSova provides a full service solution to ensure healthcare plans only reimburse claims for dependents that meet the plan’s definition of an eligible dependent. Our dependent audits reduce our client’s financial risks and consistently produce a Return on Investment of 25:1. We provide all the necessary logistics and support to verify the status and relationship of enrolled dependents. We offer two fee arrangements: 1) Success fee, based on the number of ineligible dependents identified and, 2) Fixed fee, based on the number of subscribers with dependents.