Out Of Network Negotiation

Out of Network
Negotiation

GodSpeed Medical Billing Out of Network Negotiation Services

An essential component of out-of-network billing, particularly for hospitals and free-standing emergency rooms, is negotiating out-of-network claims. With decades of experience in medical billing, coding, and revenue cycle management, particularly for hospitals and free-standing emergency rooms, our negotiation settlement team at GodSpeed Medical Billing is well-versed in these areas.

You will benefit immensely from having GSMBS medical bill negotiators handle your out-of-network settlements and underpaid appeals because dealing with insurance companies and their strategies to hide behind these negotiating vendors is not an easy process. reducing your bill reimbursement in accordance with your benefits’ restrictions.

GodSpeed Medical Billing Negotiation Service Approach

In order to negotiate on your behalf with insurance companies and negotiation vendors such as Multiplan, Viant, Zelis, etc. regarding your underpaid claims, our out-of-network negotiation settlement team will make use of their experience and OON database. We are proficient in their jargon and are aware of all the strategies for getting our clients the best deals. The most difficult part of billing is out-of-network billing, and we are recognized as the authorities in this area within this sector.

We meticulously examine past data pertinent to your area in order to safeguard your patients, and we base our negotiations on that analysis. Accurate Medical Billing guarantees that we will negotiate every claim on both your and your patients’ behalf, saving them from having to pay a significant amount out of pocket.

We have over 10 + years of experience negotiating with insurance companies and negotiating vendors, which has enabled us to build our own OON database that we use to find underpaid claims.

Although we are aware that insurance companies use employer preferences and restrictions to decide how much to pay for your medical claims, our team of negotiators is skilled at spotting employer preferences and limited benefit plans, which gives us the leverage to negotiate the best possible price for your bills.

Pre-Payment

Offers for a prepayment settlement made by negotiation vendors on behalf of insurance companies before the reimbursement of claims.

Post-Payment

The insurance company reimburses the post-payment claim in accordance with the pricing supplied by the vendor for negotiation and pricing, and the claim is then reopened for negotiation.