OUT OF NETWORK CLAIM NEGOTIATIONS
Flexible Benefits Result in Out-of-Network Claims With healthcare evolving to empower consumers with more choices, employers are being influenced to offer less restrictive healthcare packages. Most healthcare plans allow members the flexibility to use providers of their choice. Due to this flexibility or to circumstances beyond members’ control, there are times when high dollar claims are out-of-network.
Negotiation Process The negotiation process incorporates a comprehensive line-by-line review of the charges, along with skilled medical negotiators reviewing appropriateness of services rendered. The team then aggressively negotiates with non-network hospitals, physicians and ancillary healthcare providers to help reduce our clients’ and their employees’ healthcare expenses.
Van Valen Associates saves significant plan dollars through proven negotiations on non-network expenditures. While you enjoy significant plan savings, your members enjoy the benefits of no balance billing.
In fact, to protect our members from being balance billed, our medical review negotiation team requires providers to sign a release form.
Flexible Benefits Result in Out-of-Network Claims With healthcare evolving to empower consumers with more choices, employers are being influenced to offer less restrictive healthcare packages. Most healthcare plans allow members the flexibility to use providers of their choice. Due to this flexibility or to circumstances beyond members’ control, there are times when high dollar claims are out-of-network.
Negotiation Process The negotiation process incorporates a comprehensive line-by-line review of the charges, along with skilled medical negotiators reviewing appropriateness of services rendered. The team then aggressively negotiates with non-network hospitals, physicians and ancillary healthcare providers to help reduce our clients’ and their employees’ healthcare expenses.
Van Valen Associates saves significant plan dollars through proven negotiations on non-network expenditures. While you enjoy significant plan savings, your members enjoy the benefits of no balance billing.
In fact, to protect our members from being balance billed, our medical review negotiation team requires providers to sign a release form.