Are you in the managed care profession? A health insurance company? If so, Jones Healthcare Solutions is the medical claims recovery firm to help you identify the not-so-small fortunes in all types of medical claims.

There's no risk, no trouble, and no direct fees. 

Our Mission

As the U.S. Government attempts to decrease healthcare spending with their ever-changing billing and payment guidelines, how does your organization 'keep up' without investing more capital and staff?

Today's healthcare environment is extremely complex and it's sometimes difficult to verify the payment accuracy of your claims, and whether it meets your satisfaction.

It is our mission at Jones Healthcare Solutions to verify that all services are paid accordingly, and provide valuable feedback that helps improve your internal and external customer relationships.

Our Solution

The financial impact of both Managed Care Payers and Providers starts with the contract. The more complex, the more difficult the claims payment process becomes.

This creates a unique need for claims auditors with experience specific to the healthcare industry that not only find the "low hanging fruit", but also identify those "hard to find" payment issues as well.

JHS prides itself on their ability to review your contracts and claims data to find the dollars that are due to you. We will help you understand the financial and administrative impact of your contracts. This understanding and insight will help in your next negotiation.