Negotiating settlement on Out of Network claims is an important feature of Out of network billing especially for Free Standing Emergency Rooms and Hospitals. Our Negotiation Settlement team at RMB have decades of expertise in Medical Billing, Coding, and Revenue Cycle Management especially of Free Standing Emergency Rooms and Hospitals. Having RMB team 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 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’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.
Settlement offers received from Negotiation vendors on behalf of Insurance companies prior to claim reimbursement.
Claim is reimbursed by the Insurance Company based on pricing provided by the Negotiation/pricing vendor, and claim is re-opened for Negotiation.
Contact us today at 281-864-0448 for a consultation. We pride ourselves in helping your facility to grow. We are your financial partners, and every burden you take on will be taken on by us as well. .