Avoid costs before payment.
OHI Discovery, our insurance discovery platform, finds other coverage before Medicaid pays, drawing on direct data agreements that reach 99% of insured lives.
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Who we serve
We find liable third parties so Medicaid stays the payer of last resort.
State Medicaid programs have a hard mandate: cover the people who have nowhere else to turn, and pay only what the program truly owes. BRSi reviews claims for third-party liability both before and after payment, so cost avoidance and recovery run on the same data and the same standard. Our TPL team has replaced longstanding incumbents in multiple states, with structured transitions that keep cost avoidance and recoveries moving from day one.
OHI Discovery, our insurance discovery platform, finds other coverage before Medicaid pays, drawing on direct data agreements that reach 99% of insured lives.
Learn more →We handle go-behind billing, pay-and-chase, Medicare crossover, and MCO recoupment past 180 days, all tracked in ARMS PRO®.
Learn more →We pursue recovery from a range of liable parties, including casualty, mass tort, and estate claims, and we run credit balance audits and provider recoupments.
Reclamation windows, cost avoidance policies, and MMIS or other claims system requirements differ in every state. We configure our processes to fit your needs.
Work with a Medicaid managed care plan? See how we support MCOs ↓
Returned to state Medicaid programs in two years.
Accuracy on the claims we work for state Medicaid programs.
Casualty subrogation response time on a statewide program, down from three to four months at transition.
Share of transmitted reclamation claims paid on a statewide program, in a claim population heavy with duplicates.
For managed care organizations
Because Medicaid managed care plans run on fixed capitation rates, every claim another payer owes comes straight out of your budget. The window to recover those dollars is narrow, and once a claim ages past it, those funds may no longer be yours to recover.
Pushing recoveries back onto providers isn’t a good answer either, since it strains the network your members rely on. BRSi helps your plan keep more of its funds.
Talk to our team about your plan →BRSi builds and runs its own insurance repository and ARMS PRO® platform, so we can adapt quickly when reclamation windows, cost avoidance policies, or program rules change. Every improvement draws on what our TPL specialists learn across multiple state programs.
For state programs, that means finding more liable payers before Medicaid pays, with every transaction open to your audit.
Improvements we make for one state program are applied to yours at no extra charge.
Automated data matching flags likely coverage, and our specialists verify it before it’s billed or reported to your program.
A dedicated, 100% U.S.-based TPL team handles your program, from transition through reporting.
Yes. Reclamation windows, cost avoidance policies, and MMIS or other claims system requirements differ in every state. We’ve worked with MMIS and other claims systems across multiple states and customize our processes to your program.
Yes. With read-only access to ARMS PRO®, your team can review any claim, payment, recovery note, or determination at any time. Our recovery methodology is documented, and our reporting shows every claim we touch.
Tell us what you’re working on, and the right person on our team will follow up.