Claims Negotiation

Over $56 million saved for our self-funded clients. We work hard for the best negotiated outcome directly with the provider to save your healthcare overhead, while protecting the financial exposure of your member on every claim.

Patient PAL Patient Advocacy and Healthcare Claims Negotiation

We Lower Your Healthcare Costs.
Simple as that.

Medical bills for the same procedures can vary by thousands from one provider to the next. Sometimes, the same provider will bill vastly different prices for In-Network vs. Out-of-Network claims for the same services. In addition, many medical bills include mistakes, incorrect diagnosis codes, or other errors that artificially inflate the amount due going unnoticed costing and you more than it should.

We touch every claim putting a skilled negotiator behind our offering directly with the provider. No computer prompting, re-pricing or balancing billing your health plan.

Our internal health claims data provides the critical information for our negotiators to achieve additional savings on every claim. IN or Out-of-Network, we get it done. Our team of specialized negotiators goes to work on every claim that comes through your healthcare plan, bringing together our internal data, analytics, provider relationships and decades of experience to work for you in identifying the greatest opportunities for cost savings on every medical bill.

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Our Process

We analyze decades of healthcare billing and data.

Data Gathering

Knowing isn't just half the battle, it's the entire battle. We've seen every possible healthcare bill there is over decades of cost-cutting.

Before every negotiation we do a deep dive into the historical billing numbers of every medical circumstance and provider practice. With that information readily available, no one is better prepared to fight for your healthcare costs as soon as we receive the claim.

Our highly skilled negotiators fight on your behalf to save you money on every claim

Claims Negotiation

Our team works directly with the providers – from hospitals, to doctors' offices, to imaging centers. When you get a bill, our team will work collaboratively with the provider to achieve a mutually acceptable resolution. One that results in our clients paying only an appropriate amount for the services their employees/members receive.

Putting our provider relationships to work for you and your business.

Relationship Building

Like your friend who works at the dealership getting you a new lease deal, or a co-worker who can score you those box seat tickets, it's all about who you know. Except in our case, it's knowing thousands of hospitals, doctors and insurance providers.

We've built decades of quality relationships with healthcare professionals around the country and we put those relationships to work for you.

Demonstrating savings and opportunities with regular analytics reports.

Analytic Reporting

Our clients expect 'what have you done for me lately' results and that's exactly what we deliver.

In addition to regular annual savings that beat standard market performance we provide fully transparent data-driven results that show you every dollar we brought back to you and what opportunities are on the horizon by connecting our advocacy with our internal claims data.

Schedule a call to find out how we can start cutting your healthcare costs today.

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