Solutions
Preventing payment errors and reducing costs through front-end Coordination of Benefits.
Strout takes a fundamentally different approach.
Traditional COB vendors rely on post-pay recovery, a reactive model that requires health plans to overpay claims first, then attempt recovery later. This approach is constrained by timely filing limits, administrative friction, and provider resistance, resulting in recovery rates that rarely exceed 20-30% of identified opportunities.
By identifying coverage changes and primacy shifts at the member level before claims are paid, we prevent erroneous payments from occurring, protecting 100% of the savings opportunity while reducing administrative burden.
Core Solutions
Member Coverage & Eligibility Accuracy
Strout ingests and analyzes member data to identify coverage changes that impact COB, ensuring eligibility and primacy are established accurately and maintained over time.
Medicare COB & Regulatory Enforcement
Deep expertise across Medicare Secondary Payer (MSP) rules and Section 111 reporting enables Strout to identify undetected Medicare entitlement, enforce correct primacy and Part B enrollment, and support MSP premium restoration through entitlement and enrollment correction.
Newborn & Dependent COB
Strout identifies newborn and dependent coverage scenarios early, ensuring proper coordination from the start and preventing misapplied primacy that leads to claim errors and member confusion.
Ongoing COB Change Detection
Life events don't stop after enrollment. Strout continuously monitors for changes such as aging into Medicare, disability entitlement, ESRD, and other COB-impacting events, maintaining accuracy throughout the member lifecycle.
Upstream Claim Accuracy
By flagging COB issues before payment, Strout helps ensure claims are processed correctly the first time, reducing rework, reprocessing, and downstream operational burden.
Seamless Implementation
Share Your Data
We integrate directly into your existing environment, aligning with your current processes and file formats
Fast Configuration
Implementation takes weeks, not months, with minimal disruption to your operations
Immediate Results
Our technology immediately begins identifying coverage discrepancies and delivering value
The Result
Why Health Plans Choose Strout
Cleaner Claims
Ensure claims are processed correctly the first time by resolving COB issues before payment, eliminating costly rework and reprocessing.
Reduced Operational Disruption
Eliminate the downstream chaos of post-pay recovery efforts, appeals processing, and manual corrections that strain resources and systems.
Fewer Member and Provider Inquiries
Prevent payment errors that trigger confusion and inquiries, reducing the burden on customer service and provider relations teams.
Higher Savings at Lower Cost
Achieve 3-5x higher net savings compared to traditional recovery models while reducing the time and resources spent on manual review and recovery efforts.