Case Management

AXA Assistance Health Services' Case Management department is committed to ensuring that patients receive high quality care at the lowest possible cost. Through our cost avoidance approach, our team can effectively steer to cost-effective levels of care, provide cost estimates and reserves to help our clients manage their book of business. 

Managing Care Efficiently and Effectively Before, During & After

Cost Avoidance through Medical Case Management

Available 24/7, AXA Assistance medical and URAC accredited case management teams are highly qualified in assessing medical appropriateness, recommending and implementing high quality, cost effective treatment plans as the case progresses.

To maintain quality, yet avoid overutilization, AXA Assistance Health Services employ the following protocols:

  • Staffing of a team of medical professionals to review cases and ensure services are medically necessary and relevant
  • Utilization of an industry standard evidence based management guidelines that focus on medical necessity, level of care and length of stay
  • Pre and post medical cost estimates for all inpatient cases, medical evacuations and repatriations

By vigorously managing all aspects of Quality, Access and Cost, our case management team is able to positively impact overall expenses through reduced inpatient lengths of stay, reduced re-admission rates and avoidance of unnecessary admissions. Our team also provides clients related cost avoidance savings reports and clinical summaries on an ongoing basis.


Direct Negotiation Capabilities

AXA Assistance's dedicated Claims Settlement department consists of experienced medical negotiators well versed in applying various negotiation methodologies to a case as a whole. The settlement team will leverage our Medicare and paid claims databases to negotiate with providers based on true cost of service, as opposed to the standard approach that ineffectively pursues discounts without any cost reference.