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 Provider Negotiations 

 
 
Paying for What’s Fair
Your policyholders deserve to have their personal injury protection maximized.  As an auto insurance carrier, medical costs often far exceed those of group health carriers or even workers’ compensation carriers – preventing your policyholders from receiving treatment they need. 

Rising’s negotiation services can be added as a policy preservation tool to help maximize the value of your policyholders’ coverage.  Our approach to the financial and medical aspects of the healthcare process enables us to negotiate the right price for the appropriate care.

We’re sensitive to your demands. We know you’re in a time crunch. We know the patient and provider relationship is critical, as is fair and accurate billing. Rising’s Out-of-Network Negotiations decrease excessive, and often erroneous, medical costs. Negotiating on your behalf, we agree to equitable and final resolutions for:

 

     Out-of-Network Bills

     Hospital Bills

     High Dollar / Complex Bills

     Prospective Treatment

 

 

 
Our Accuracy, Your Advantage
Out-of-network and high dollar treatment can drive a substantial portion of your medical costs , as many auto medical bills do not have applicable fee schedules or PPO contracts to ensure equitable rates. To determine fair reimbursements, Rising focuses on appropriate charges not billed charges: first we pare down the bill to appropriate treatment items; then we negotiate to remove inappropriate charges and reduce any legitimate yet still excessive charges. We leverage our medical expertise, contractual relationships, repricing databases, veteran negotiators and expert coding review to provide the precision required to ensure you pay for only what’s right. 

Rising’s proven track-record shows we’re meeting a systemic need: 30 - 50% of the time our negotiators deliver fairer results to clients. At the same time, we understand the importance of accounting for policy limits, legal issues and compliance guidelines in your workflow.

Benefits to You and Your Insureds

     An additional 28% in average savings over standard bill review results – that is an extension of benefits all policyholders can appreciate

     Provider sign-off/confirmation on every case alleviates dispute concerns and legal costs

     Better negotiation success rates and discounts through quick pay feature

     Flexible options: use as part of our Medical Bill Review program or as a stand-alone service

     Easily integrates into existing workflows

     No cost to you without savings from us

 

Sales Inquires

 Email:

info@risingms.com 

 Call:

877.747.4644

Customer Service

 Email:

outofnetwork@risingms.com

 Call:

877.747.4644

 Write:
 

325 N LaSalle St, Ste 600
Chicago, Illinois 60654
 

 
 
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