Q: Does HHC provide cost reduction services for in-network claims or out-of-network claims?
We provide cost-reduction services for any type of claim, regardless if the provider is in-network or out-of-network, including claims from hospitals; outpatient services, like ambulatory surgery centers and imaging centers; medical equipment companies; rehabilitation and physical therapy providers; dentists; and all types of physicians.
Q: How long does it take to negotiate or reprice a claim?
We guarantee to turn around claims negotiation and claims repricing services in 5 business days – and usually faster – so you never forfeit your ability to dispute provider charges and achieve maximum savings.
Q: How does HHC negotiate/reprice workers compensation claims?
In fee schedule states HHC negotiates and reprices claims below the fee schedule. We can also reprice the claims to the fee schedule amount.
For workers compensation claims in states that do not adhere to a fee schedule, we seek the maximum discount possible using our "never give up" approach and two decades of negotiation and repricing experience.
Q: What if we only want to use some of HHC's services?
We're flexible! That means clients can use only the services they require. From Medical Bill Reviews to Medicare-Reference Based Pricing, you can determine the specific services you want us to deliver as well as the precise claims that you want us to handle.
Q: What kind of independent/utilization reviews does HHC provide?
With experts representing almost every type of medical specialty, we can handle virtually any medical review scenario, including those with urgent, time-sensitive requirements.
We frequently work with workers compensation insurance companies to provide reviews related to injury causation, responsibility for coverage, level of disability, and when a patient can return to work.
We also work on behalf of many states to provide independent medical reviews when patients/plan members appeal the decisions of their insurance company to access care or medication.
Q: For what kind of claims does HHC use Medicare-Reference Based Pricing?
Clients can choose which claim types they want us to apply Medicare-Reference Based Pricing. Payers can offer this pricing approach for all claims for Medicare-covered services, out-of-network claims, for hospital or physician claims only, or for specific medical services like dialysis.
Q: How can I submit claims to HHC?
The easiest, most efficient way to submit claims is to upload them on our secured computer server through our online portal. Registration is easy. Click here
to get started.
You may also submit claims by secure email or via fax to (301) 963-9431. For Negotiating, Repricing, and Medical Bill Reviews, you may submit to firstname.lastname@example.org. For Independent Reviews/Utilization Reviews, you may submit to MRP@hhcgroup.com.
If you are submitting a large amount of claims, we recommend establishing an EDI connection.