Skip Navigation

Coordination of Benefits

Comprehensive COB solutions that seamlessly integrate to deliver unmatched financial results.

GettyImages-1972131213

Maximize return on investment through cost savings and recoveries.

HMS pioneered coordination of benefits (COB), also known as third-party liability (TPL), nearly 40 years ago. Today, as part of Gainwell, HMS COB solutions for commercial, Medicaid, Medicare, military, and state agency programs continue to deliver value and drive innovation.

Contact us to start the conversation today.

$10 Billion

Total Recoveries & Savings

21+ Million

Cost Avoidance Records Delivered

4.8 Billion

Claims Processed

Pre-Payment Solutions

The goal is always to maximize cost avoidance for your plan. Our proven market expertise pairs with our end-to-end COB solutions to amplify speed to delivery and provide truly actionable insights.

Post-Payment Recovery

Our Post-Payment solutions leverage AI and machine learning to examine improperly paid claims. Then, we pursue those recoveries using proven, efficient digital processes to maximize savings.

Case Management

Our Case Management solution drives cases to reimbursement and closure by making sense of disparate data. We deliver secure and reliable digital access and real-time updates, document imaging, and a guided workflow with support from our expert case managers and attorneys.

Additional solutions making healthcare more efficient and effective.

Payment Integrity

Helping plans avoid and recover improper payments while detecting and preventing fraud.

Learn More

Care Quality

Enabling quality care and affordability with strategies that balance empathy and efficiency.

Learn More

Data & Analytics

Transforming your most complex data into actionable insights with Gainwell Genius™.

Learn More

Actionable insights that
empower healthcare progress.

We deliver ideas that help shape the future of healthcare.

Driving Record Recoveries, Accelerating Compliance

Driving Record Recoveries, Accelerating Compliance

Learn More
Four diverse hands hold out four white puzzle pieces as they sit in a circle

What Makes a Coordination of Benefits Program Best in Class?

Learn More
An African-American man with a white beard and blue shirt carries a young child in a medical gown smiling on his shoulders while a doctor and nurse are out of focus in the background

Medicaid Modernization: Aligning Business Strategy with Human Outcomes

Learn More
Explore All Insights

How can we support you?

Start the conversation today.

Contact Us