image HEALTH PAYER CONSORTIUM ACHIEVES LOWEST POSSIBLE CLAIM NEGOTIATION FEES image HPC Advantage

Health Payer Consortium Health Payer Consortium

Medical Bill Review

We average a 15% reduction from annual billed charges by removing invalid and non-compliant charges prior to the application of a network contract.

Our review is performed by clinicians and coding experts with advanced certifications and degrees. We identify errors and non-compliant charges per federal, state and commercially accepted billing guidelines. We review claims for medical necessity and offer legal reviews regarding adherence to PPO contracts and plan documents. The end results of your partnership with HPC are Clean Claims that adhere to your Plan Docs and PPO contracts. This results in an overall reduction in plan cost through the reduction of errors.

Specifically, we look for items that are non-compliant with the following:

  • Social Security Act
  • Code of Federal Regulations
  • Uniform Billing Act
  • False Claims Act
  • CMS Manuals
  • State Laws
  • National AMA and AHA Rules & Guidelines

 

ART OF LIVING BUILDING
  • 1141 South 7th Street, St. Louis MO 63104
  • TOLL FREE (844) 888-1HPC (1472)
  • (727) 216-1674 (HIPAA Secure)
  • healthpayerconsortium.com
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