Our team of claim negotiation experts is here to assist you with your medical claim negotiation. We understand that every case is different and that's why we proudly offer a variety of ways of helping you that are fine tuned to your specific situation! Whether you are in or out of network and you need guidance with your medical claim negotiation, claim audit, Medical Necessity Review, Reimbursement Determination and anything else our team of talented business professionals is here to get you what you deserve!
There is no shortage of options for health plans when choosing an out of network cost containment vendor. So, what makes ePlan the right choice? Our competitive edge lies in our extraordinary savings performance, personalized customer service, and top-notch medical claims negotiations. With an average success rate of over 80% and an average discount close to 50% off of claim charges, many of our customers are saving millions of dollars each year on their out of network claims.
We use proprietary algorithms and extensive provider databases to determine areas of considerable expense or waste, and to expose abusive billing practices and suspect claims. Our Comprehensive Claims Editing solution identifies clinical and technical edits and targets suspect claims for further review . This method allows us to handle every claim with confidence and consistently outperform our competition. We're sure you'll agree!