Out Of Network Negotiation Services

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Right Medical Billing Out of Network Negotiation Services

Negotiating Out of Network claims is an important feature of Out of network billing especially for Hospitals and Free Standing Emergency Rooms. Our Negotiation Settlement team at Right Medical Billing have decades of expertise in medical billing and coding, and Revenue Cycle Management especially of Hospitals and Free Standing Emergency Rooms.

Having RMB medical bill negotiators to take care of your Out of Network Negotiation settlements and underpaid appeals will greatly benefits you because it isn’t an easy process to deal with the Insurance companies and their tactics to hide behind these negotiating vendors minimizing your bills reimbursement based on benefits limitations.

Our Negotiation Services Approach

Our out of network negotiation settlement team will utilize their expertise and OON database to negotiate on your underpaid claims with insurance companies and negotiation vendors i.e. Multiplan, Viant, Zelis etc. on your behalf. We know their terminology and we know all the tricks of negotiating the best rates for our clients. Out-of-network billing is the trickiest aspect of billing, and we are well-known in this industry as the experts in the field.

We protect your patients by carefully analyzing historical data based on your locality and negotiate based on the analysis. Right Medical Billing ensures that we negotiate each claim, on your behalf, as well as your patients, so that they are not stuck with a massive out-of-pocket expense.

We’ve been navigating these insurance companies and negotiation vendors for more than 10 years on pre-payment and post-payment negotiations which helped us to create our own OON database which we utilize to identify underpaid claims. We know that Insurance companies utilizes employer preferences and limitations in determining reimbursement on your medical claims but still our negotiation settlement team knows how to identify limited benefit policies and employer preferences which help us to negotiate your bills on maximum re-pricing.

Pre-Payment

Settlement offers received from Negotiation vendors on behalf of Insurance companies prior to claim reimbursement.

Post-Payment

Claim is reimbursed by the Insurance Company based on pricing provided by the Negotiation/pricing vendor, and claim is re-opened for Negotiation.


At the End, we advise you to use quality control procedures, structured billing processes, and appropriate out of network negotiation services to ensure error-free billing and maximum payments.


Contact Right Medical Billing today at (281)-864-0448 for your consultation. There are multiple advantages to allowing us to become a part of your team. We will help you increase your cash and patient flow while also helping you to streamline your work. Our team is more than just a billing company. Contact us to learn more about how we can help you.

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