There is more savings to be had on in-network claims
Preparation
Negotiation
3 Step Process for Maximum In-Network Savings
Upon receiving the medical bill and itemization (if available) from our client, HealthGathered performs a preliminary review of the documentation to determine
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Historical Negotiation Success
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CFO Level Contact
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PPO Discount/Repricing Information
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Potential Billing Errors
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Potential Billing Overcharges
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Claim Negotiation Strategy
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Preparation
Once the negotiation strategy is determined, HealthGathered contacts the provider and schedules a call or web meeting to review the medical bill. The following is reviewed
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PPO Discount
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Potential Billing Errors & Overcharges
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Potential for an Official Audit
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Expedited Payment Opportunity and Terms
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Shared Savings for Member
Negotiation
Once the provider has agreed to a settlement amount, HealthGathered prepares and sends a short but thorough Single Case Agreement which covers
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Key Elements of Medical Bill
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No Balance Billing Condition
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Acceptance of Negotiated Amount
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Expedited Payment Terms
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Waiver of Medical Bill Audit
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Payment Remittance Information
Finalization