Personal Repricing Services delivers superior net results

Why? After several PPO repricing attempts your ROI diminishes since fewer matches occur with each PPO repricing level versus the process cost. With PRS, a negotiator can navigate PPO discount tables and then call the Provider directly. At this juncture a Personal Repricer can obtain discounts more often and obtain a higher discount.

Process

1. Receipt of Post-Adjudicated Claim
2. Benchmark – PPO Level Discount
3. Personal One-to-One Negotiation
4. Confirmation via Assignment Doc/ Accelerated Payment Agreement

No Balance Bill to Patient, Accelerated Settlement/Payment of Claim, Submittal of Repriced Claims into TPA System

Ease of Use
Seamless EDI Interface with TPA Claims Systems, Acclamation (LuminX), Seamless direct EDI, VestaCare , Eldorado, Trizetto , All other 837 EDI

Efficient Infrastructure

1. Full Transaction Visibility
2. Real Time Web Reporting All Transaction Activity
3. Claim Purchase Amount, Transaction Cost, Net to TPA
4. 24 x 7 Easy and Immediate Access