Overpaid claims. Billing errors. Missed recoveries. With ClaimInsight’s Retro Review & Recovery (RRR) Program, we go back—so you can move forward.
AMPS, ClaimInsight’s Retro Review & Recovery (RRR) Program goes back—so your self-funded plan can move forward. With no disruption to your operations, RRR reviews up to three years of paid claims, helping self-funded employers recover 3–6% of total healthcare spend lost to billing errors, overpayments, and administrative mistakes.
More than just a cost-containment solution, RRR supports your fiduciary obligations under ERISA and ensures compliance with the Consolidated Appropriations Act (CAA). It empowers plan sponsors to protect plan assets, return improperly spent dollars to the plan, and directly benefit employees.
Our solutions deliver $1.25–$2 million in savings per 5,000 employees—putting real dollars back into your plan.
Meet your Consolidated Appropriations Act (CAA) and ERISA obligations with a third-party, independent review that reinforces your role as a responsible plan steward.
Our program includes optional employee reimbursement when errors are found—helping build trust, transparency, and satisfaction across your organization.
Unlike TPAs or standard post-pay reviews, RRR is truly independent and unbiased. We audit every claim, regardless of size, to uncover savings that would otherwise go unnoticed.
RRR is funded through recovered dollars— with low financial risk to your plan. We only get paid when we deliver results.
The RRR Program from ClaimInsight is a turnkey, high-impact solution for self-funded employers looking to maximize healthcare ROI.
Our experts review every claim—big or small—from the past three years, identifying:
• Overpayments
• Waste and abuse
• Administrative and billing errors
• Duplicate or incorrect coding
With no plan design changes and full transparency, we help you recover what’s rightfully yours—and strengthen fiduciary integrity in the process.
1. Rising Healthcare Costs
Waste and abuse silently drive up spend.
2. Government Scrutiny
Under CAA, plans must show vendor oversight and audit integrity.
3. Member Expectations
Employees expect better care and better value—RRR helps deliver both.
You’ve already paid the claims. Let us help you recover what was lost—with no risk, no disruption, and guaranteed results.
