Identify
Analyze claim and payment data to isolate supportable potential overpayments.
IDENTIFY | ALERT | RECOVER | RESOLVE
A clearer path to resolving healthcare overpayments.
SKYsolvers helps health plans identify, communicate, recover, and resolve potential overpayments—clearly, securely, and fairly.
Protecting plan funds. Preserving member value.
A MORE CONTROLLED PROCESS
Recovery should be rigorous without being adversarial.
SKYsolvers brings each potential overpayment into one clear, trackable process. Health plans gain visibility and control. Providers receive direct information and a straightforward way to respond.
Every step is designed to support accuracy, reduce unnecessary friction, and move valid findings toward resolution.
Alert
Notify providers with clear claim detail, the reason for the finding, and response options.
Recover
Manage outreach, responses, payment activity, and follow-up in one accountable workflow.
Resolve
Document the outcome, close the record, and preserve a clear history for plan oversight.
FOR HEALTH PLANS
Visibility from first finding through final resolution.
Recovery work should not disappear into a black box. SKYsolvers gives plan teams a current view of what was identified, what has been communicated, what remains open, and what has been returned.
- Centralized case status and recovery activity
- Clear documentation for every provider interaction
- Consistent escalation and follow-up workflows
- Reporting built for operational and fiduciary oversight
RECOVERY WORKFLOW
A clear record at every step
01
Finding documented
Claim detail and rationale are connected to the case.
02
Provider notified
The notice explains the finding and response options.
03
Response reviewed
Questions, documents, and payment activity stay in context.
04
Outcome recorded
The final disposition remains available for oversight.
PROVIDER NOTICES
Did you receive a notice?
Follow the response instructions and contact details on your notice. Keep its reference number handy so our team can locate the right case.
Contact Our TeamPlease use the delivery method listed on your notice for claim records or other sensitive information.
FOR PROVIDERS
Clear information. Practical response options.
A recovery notice should make it easy to understand what is being requested and why. SKYsolvers provides relevant claim detail, a clear basis for the finding, and instructions for responding.
ReviewSee the notice, claim information, and stated reason.
RespondReturn payment, provide documentation, or dispute the finding.
TrackFollow the case through review and final resolution.
THE SKYSOLVERS APPROACH
Accuracy and control without unnecessary friction.
We connect disciplined recovery operations with a better experience for the plans and providers involved.
Supportable findings
Cases begin with clear data, a defined rationale, and documentation appropriate to the finding.
Respectful communication
Notices are direct and professional, with practical instructions and clear avenues for questions.
Visible accountability
Activity, decisions, payments, and outcomes remain connected in a traceable recovery record.
COMMON QUESTIONS
What plans and providers need to know.
Clear answers are part of a fair recovery process.
What information is included with a notice?
Each notice identifies the relevant claim or payment, explains the potential overpayment, and provides instructions for reviewing and responding.
How can a provider respond?
Follow the instructions on your notice to return payment, provide supporting documentation, ask a question, or dispute the finding. Use the specified delivery method for sensitive records.
Can health plans monitor recovery activity?
SKYsolvers tracks active notices, provider responses, recovery status, resolution activity, and supporting records for client reporting.
How does SKYsolvers protect sensitive information?
SKYsolvers uses controlled processes for case information. Providers should follow the secure delivery instructions on their notice when sending records or other sensitive information.
A CLEARER RECOVERY PATH
Ready for more control over recovery?
Let’s talk about a recovery process that protects plan funds while preserving productive provider relationships.