We provide a line item analysis of your medical bill. We scrutinize your bill for duplicate charges and the appropriate bundling of charges. We then apply the appropriate discounts and forward the revised bill to the claims handler for payment. We work closely with the claims payer to ensure a smooth and efficient process.
Our EOB is provided to the Employer/TPA so that payment can be remitted directly to the provider with a copy of the EOB. The EOB reiterates the information supplied on the original bill along with a detailed explanation of the adjusted rates.
Benefits to YOU – the Employer/TPA:
EXCLUSIVITY– We work with the employer/TPA to build a tailored network. As a result, most of our providers have been referred into our network. Our network may be smaller than others, but our providers are chosen based on outcomes as perceived by other employers.
RELATIONSHIPS – We maintain a close relationship with both the providers as well as our employers. We help to solve problems by maintaining clear lines of communication between the parties.
CONTROL – We negotiate significant discounts from our providers to help you manage the severity of your claims. You will save money on your work comp claims.
CLARITY – Our Explanation of Benefits (EOB) reporting is clear, concise and accurate. You should never have to wonder whether or not your reimbursement is correct. Providers love our reports and so will you.
SPEED- We don’t waste any time with your bill. Once your bill reaches our office, it is processed and forwarded for payment within 48 hours. Claims will be processed sooner.
REPORTING – We provide monthly detailed reports demonstrating our activity on your behalf, incorporating all patient visits and dollar amounts. You deserve our accountability.
Sign-up costs nothing and there is no requirement to use our physicians. When you do sign up, our physicians and hospitals will be obliged to provide their services to you at a considerably lower price. You will receive a comprehensive monthly report detailing your claims. As you read the reports, you may happily reflect on the fact that you have just saved your company money – and increased the quality and service of your workers’ compensation program!
Our plan is risk-free. We are paid a fee that is calculated as a percentage of the savings we deliver to you. In simple terms – if there are no savings, you aren’t charged a dime. This process ensures that we continuously strive to deliver the best healthcare at aggressive discounts.
The logical choice for workers' compensation. Let us help you to achieve the best overall cost savings available to your or your clients. We look forward to working with you to control the rising cost of medical treatment!
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