Medical Claim Negotiation & Repricing

Determine Medical Necessity with
URAC-accredited Independent
Medical Reviews

Objective, impartial and unbiased evaluations by clinical experts.

Optimize Savings with
Reference-Based Pricing:

Align payments to Medicare rates cost-effectively with our
competitive pricing and accurate in-house Medicare repricer,
minimizing provider challenges and ensuring transparency
and fairness

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Slash High-Cost Medical Claims and Workers' Compensation Bills:

Lower your expenses on each and every claim, avoid overpayment and achieve exceptional savings on the highest cost treatments.

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Implement Accurate, Timely Independent
Resolution of Disputed Claims Under
the No Surprises Act:

Protect your bottom line with accurate, timely independent claim
resolutions that ensure fair payments while safeguarding payor
interests

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Ensure Medical Necessity with Dual Financial and Clinical Review:

Line-item bill analysis ensures accuracy, identifies errors and reduces unnecessary costs.

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Cut Your Losses:

Within days, our expert negotiating team will achieve deeper discounts and healthcare claims savings as high as 90% -- the fastest turnaround time and highest savings in the industry.

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Maximize Savings on In-Network
and Out-of-Network Claims:

Empowered with cutting-edge tools, technology and AI, our expert
attorney-led team of negotiators is your trusted partner to verify
costs, ensure billing accuracy and reprice claims.

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H.H.C. Group is the Industry Leader:

URAC-accredited services
1 of 5 Independent Dispute Resolution Entities (IDRE) Certified in the State of NY
Global Recognition for Quality Management ISO Certification 9001:2015
30 years of assisting payors in controlling their medical claim spend.

Our proven strategies and solutions optimize health plan performance, enhance fiduciary responsibility and ensure financial stability.

CLAIMS NEGOTIATION

Achieve fair provider payments while effectively managing healthcare spend and reducing claim costs

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MEDICARE REFERENCE BASED PRICING

Pricing management based on predetermined rates, controlling costs with a focus on transparency and reasonableness

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INDEPENDENT MEDICAL REVIEW

Timely, unbiased reviews from qualified specialists at competitive rates

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MEDICAL BILL REVIEW

Uncover costly errors on in-network and out-of-network claims

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WORKERS' COMPENSATION

Efficient repricing to fee schedules with additional savings below state-mandated rates

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IDRE

Resolve surprise medical bill disputes quickly and fairly

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Who We Serve

Self-Insured Employee Health Plans
Workers' Compensation
Third Party Administrators
Brokers
Stop-Loss Carriers
Medical Stop Loss Captives
Managing General Underwriters (MGUs)
Government Health Plans: ERISA and other regulated health plans
General and Specialized Health Insurance Markets
HMOs and Regional Health Plans
State and Federal Health Agencies

Stop Overpaying: Contact H.H.C. Group today.

Case Studies, News, & Insights

international classification of diseases

ICDs, DRGs and OMG READ MORE >

Out of Control Hospital Costs READ MORE >

CUSTOMER TESTIMONIALS

"I love working with HHC. All of their staff are knowledgeable, helpful, and friendly. My mother had Covid and an employee of HHC immediately added her to the church prayer list. I am very grateful for that. This is above and beyond. Thank you."

Southwestern TPA

"H.H.C. has assembled a team of professionals that have studied the healthcare marketplace and pinpointed vital information needed by those holding liabilities in that market - truly 'reasonable' costs associated with healthcare."

Stop Loss Carrier

"The whole staff I work with have been so helpful. In dealing with a provider with claims from over a year ago they were able to get the same discount they did a year ago! We were on a time crunch also and were able to get me the negotiation and the invoices within 2 days. That was a big WOW for me and my staff."

Midwestern TPA

"No matter who I deal with, they are knowledgeable & willing to assist in any way they are able to."

MGU

"When I think of HHC Group, I think of a very positive & pleasant company to do business with. I know they will meet my needs."

Labor Union Owned Insurance Company

"I've been working with HHC for over 13 years and I have nothing but good experiences with your company."