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Hospital Bill Review
Provider Negotiations
Surgical Care Program
PPO Networks
Provider Payments

 Provider Negotiations 


Paying for What’s Fair
Too often you pay tens of thousands of dollars more than you should. Just because a provider is not in your network, does not mean you or your policyholder should be stuck with excessive charges.

Rising’s negotiation services can be added to ensure you and your policyholder pay what’s fair for appropriate out-of-network care. We’re sensitive to your demands. We know you’re in a time crunch. We know the patient and provider relationship is critical.  At no risk to you, we negotiate on your behalf to decrease excessive, and often erroneous, medical costs and agree to equitable, final resolutions for:

     Out-of-Network Bills

     Hospital Bills

     High Dollar / Complex Bills

     Prospective Treatment



Our Accuracy, Your Advantage
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. Our approach is to determine the base cost of delivering the services and then negotiate an equitable rate based on those costs; versus simply trying to get a percentage of savings off of total charges. This type of approach renders much better savings results.

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.  We also make certain policy limits, legal issues and compliance guidelines are all taken into account in your workflow.

Rising’s proven track-record shows we’re meeting a systemic need: 30 - 50% of the time our negotiators deliver fairer results to clients. Here are two recent examples, always with provider agreement:


     Resolved nearly $100,000 of inappropriate medical charges

     Unraveled a complex bundling issue that saved our client $350,000

Benefits to You and Your Insureds

     Significant savings over standard bill review results – that’s an extension of benefits all policyholders can appreciate and savings that impact your financial health

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

     Better negotiation success rates and discounts through quick pay feature

     Easily integrates into existing workflows

     No cost to you without savings from us

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325 N LaSalle St, Ste 600
Chicago, Illinois 60654