In short
We negotiate every underpaid out-of-network claim for ERs, hospitals and urgent care, manage No Surprises Act open negotiation and IDR filings, and typically raise OON collections by 10% or more.
Out-of-network claims require specialized expertise to maximize reimbursement. Our negotiation team has years of experience working with insurance payers to secure the highest possible rates for ER, hospital, and urgent care services.
What's included in out-of-network negotiation?
- Aggressive negotiation with insurance payers for maximum reimbursement
- Specialized expertise in ER, hospital, and urgent care OON billing
- Usual and customary rate (UCR) analysis for fair reimbursement
- Appeals and dispute resolution for underpaid or denied OON claims
- No Surprises Act compliance and patient billing management
- Independent dispute resolution (IDR) process management
- Transparent reporting on negotiation outcomes and recovery rates
- Payer-specific strategies based on historical data and trends
Out-of-Network Negotiation across the United States
We provide out-of-network negotiation for healthcare providers in every state, including: