Plenty of reference-based pricing programs promise provider access. DirectAccess+ proves it. At this point in 2025, we had processed just over 13,000 provider nominations for the year and delivered a 96.5% participation rate. This year, we've processed nearly 20,000 more nominations, and there's been no drop in participation. That’s what proven provider access looks like. #WhyClaimDOC #PaveTheWay #DirectAccessPlus #RBP

Six days in the hospital. Multiple serious diagnoses. And under a traditional health plan, the cost would have been nearly twice as high for both the member and the plan.   Our auditors found the savings others leave sitting on the table. Because paying more for health care doesn’t make it better. It just makes it more expensive.   See more real savings examples from the past month at hubs.la/Q04B0Qy20.   #WhyClaimDOC #DirectAccessPlus #ClaimAuding #FairPaymentSolutions #RBP

In true ClaimDOC style, we wrapped up Customer Service Week on Friday with a friendly competition! From catered meals and a scavenger hunt to treat bags, chair massages and, finally, a minute-to-win-it contest, it was a fun week celebrating the people who do so much for our members and clients. Thank you to our incredible team for everything you do! #ClaimDOCculture #CustomerServiceWeek2026

We don’t call it member advocacy because it looks good on paper. It's what we do. When a health plan member describes their advocate as extended family after seven months of navigating health care billing issues together, that’s not just extraordinary customer service. It’s the ClaimDOC standard. #WhyClaimDOC #MemberCentric #ClaimDOCculture

The giants in the health insurance industry have their place. But bigger doesn’t mean better, and it doesn’t always make them the best partner for your health plan. On our latest ClaimTalk, Shepherd Insurance President Jeff Kweder and Advisor Steve Goodin discuss the evolution of reference-based pricing and why successful execution depends on partners who know the business, know the people and provide personalized service. #ClaimTalk #RBP #HealthBenefits

It’s one of our favorite times of the year: Customer Service Week! While the work our team does to support our clients and their health plan members never goes unnoticed, we love an extra excuse to show our appreciation. We have plenty planned for the team this week, starting with today’s catered lunch! #ClaimDOCculture #CustomerServiceWeek2026

It’s scary how great our team is! Big thanks to our October work anniversary crew. Our health plan members are frighteningly lucky to have you on their side. #ClaimDOCculture #workanniversary

Undefeated. Relentless. Still climbing. Jacobe "Cobe" Smith is on the rise in the Ultimate Fighting Championship and headed back to the octagon this Saturday with a perfect 12-0 record. ClaimDOC is proud to be in his corner. We know what it's like to take on tough opponents. Every day, we fight to bring transparency and fair payment solutions to health plans — an effort that demands persistence, discipline and resilience. Those same qualities have helped fuel Cobe's success. We've been honored to sponsor his journey to becoming a UFC name, and we can't wait to see what's next. Good luck this weekend, Cobe. We'll be cheering you on!

Reference-based pricing didn’t earn acceptance overnight. Early models delivered the kind of savings that got everyone’s attention, but they also created enough disruption to test everyone’s patience. On this episode of ClaimTalk, Shepherd Insurance President Jeff Kweder and Shepherd Advisor Steven D. Goodin share war stories from their earliest RBP cases and explain how the model matured into a solution with service they can stand behind and are proud to offer their clients. hubs.la/Q04y-qg40 #ClaimTalk #RBP #HealthBenefits

Sepsis is the costliest cause of hospitalization in the United States. Add complex coding, lengthy stays and hospital-acquired cases, and the opportunity for expensive errors only grows. In her newest Audit Spotlight, Vice President of Audit Services Cynthia Swanson breaks down common sepsis coding pitfalls and examines a case with nearly $1.2 million in billed charges. Her team priced the claim 79% below the billed amount. Read the article to see why claims this complex require auditors who know exactly what to look for. hubs.la/Q04yNbjc0 #WhyClaimDOC #MedicalBilling #PricingTransparency #ClaimAuditing #RBP

Employers need more than the same tired strategies to control health plan costs. And brokers who continue to ignore reference-based pricing risk being left behind. On the next ClaimTalk, Shepherd Insurance advisor Steve Goodin and President Jeff Kweder join us to look back at how RBP has evolved over the years. They tell us why employers need a consultant who understands every strategy in the market and that delivering meaningful savings sometimes requires an unconventional approach. #ClaimTalk #RBP #HealthBenefits

We were proud to sponsor last weekend's Iowa Latino Heritage Festival and celebrate the culture, traditions and community that enrich our state! Thank you to everyone who stopped by our booth to meet members of our team and to learn more about what we do and how to join us. #IowaLatinoHeritageFestival #ClaimDOCculture

Reference-based pricing used to win on price alone. Big renewal increase? Savings could open the door, even when the path forward still came with plenty of friction. But the market has changed and so has the strategy. On the next ClaimTalk, Jeff Kweder, president of Shepherd Insurance, and Shepherd Advisor Steve Goodin look back at how RBP worked in the early days and how far it’s come since. They share how the best RBP solutions today lean into concierge service, provider outreach and member experience to make the plan and its savings sustainable year over year. #ClaimTalk #RBP #HealthBenefits

ClaimDOC celebrated Hispanic Heritage Month today with a team lunch catered by TNT’s Tacos N’ Tortas! It was a delicious way to celebrate Hispanic and Latino culture, recognize the contributions of these communities and show appreciation for the work our team does to make healthcare more accessible for our Spanish-speaking members. #ClaimDOCculture #HispanicHeritage Month

One look at Jacobe “Cobe” Smith tells you all you need to know: focus, strength and zero interest in backing down. Still undefeated, Cobe trains relentlessly to knock out the toughest challengers in the UFC. We’ve been proud to sponsor Cobe's journey since before he earned a UFC contract, and his determination is why he's featured in our new ad at Des Moines International Airport. Like Cobe, ClaimDOC works every day to help employers take down the high cost of healthcare. And we’ll keep fighting for the underdog against a system that keeps getting more expensive and harder to defend.

With the annual Iowa-Iowa State football showdown kicking off tomorrow night, our team got an early start on the festivities with a tailgate-style potluck lunch and our annual CyHawk Bags Tournament.   While only one team in the 26-team bracket could be crowned champions, it was a fierce competition worthy of the CyHawk name.   Thank you to everyone for bringing food, participating in the tournament and making this day a “hole” lot of fun!   #ClaimDOCculture #CyHawk #Bags #Cornhole

When a provider doesn’t understand a member’s health plan, we don’t make the member become the expert. We step in, talk directly with the provider and clear up the confusion before it turns into a bigger issue. That’s what happened when a member reached out the night before an appointment after being told he didn’t have insurance. By the next day, Tristen had already connected with the provider’s office, explained how to accept the plan and resolved the issue before lunch. That’s not extra. That’s the level of support members should expect. #WhyClaimDOC #RBP #MemberCentric

After a traumatic injury involving multiple rib fractures, a DirectAccess+ member needed treatment and surgery. Under a traditional health plan, their patient responsibility would have been significantly higher. With DirectAccess+, it was cut in half. And the plan? It saved more than $50,000. With DirectAccess+, cost savings are only part of the story. The real value is reducing unnecessary spend while helping protect members from the significant financial burden that can follow serious medical care. See more savings examples: hubs.la/Q04x3vdq0 #DirectAccessPlus #RBP #FairPaymentSolutions #WhyClaimDOC

Today, we’re celebrating the hard work happening in every industry in every corner of America. Thank you to everyone who shows up, works hard and makes a difference, especially those on our own team. Happy Labor Day! #LaborDay

Three of our teammates have been baking something special over the last several months, so we celebrated with bundtinis from Nothing Bundt Cakes. Please join us in congratulating Liliana Chabla, Katee Williams and Katherine Basford on the little ones they have on the way. #ClaimDOCculture #bundtinis #babies