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Why We Are Different
Optimal results in minimum time.
To achieve the results payers want and need, we utilize marketproven methodologies AND proprietary, internally-developed and tested “Models of Conversation” that match the most appropriate analytical tools and staff resources to each claim based on client preference, claim type, complexity, dollar value, and provider history. Combining our health care expertise, best practice processes, and advanced technologies for greater ease and efficiency, we drive savings that beat industry standards, while improving payer relations with providers and members, and lowering administrative costs and burden.
With a specialized staff, non-PPO and PPO charges are analyzed using leading industry tools and negotiated on a claim-by-claim basisretrospectively, concurrently, or prospectively. Utilizing our “Models of Conversation” and leveraging our claim findings and strong relationships with providers, our negotiators quickly reach favorable signed settlement agreements, while fostering satisfaction among all parties involved.
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