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GROUP HEALTH

 Provider Negotiations 

 
 
Paying for What’s Fair
When liability is clear and you are responsible for directly paying medical bills on a claim, you shouldn’t have to pay more than what’s right.

Rising’s negotiation services can be added so you’re treated fairly and you don’t pay more than you need to 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.  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

Out-of-network and high dollar treatment can drive a substantial portion of your medical costs, as liability carriers do not have the advantage of state fee schedules or PPO contracts to ensure equitable rates. Rising jumps in with the expertise; we’ve analyzed billions of dollars in medical charges across all insurance lines, so we know what’s fair.

 

 
To determine accurate reimbursements, we focus 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.  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

     Savings from 18% - 60%

     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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