Client Success Story: Laparoscopic Out-of-Network Surgery Case

April 03, 2025 H.H.C. Group reduced a $343K out-of-network claim to $68K—delivering over $275K in savings in just three business days.

Overview:

A 30-year-old female patient faced significant health challenges, including a double uterus, abnormal uterine and vaginal bleeding and noninflammatory disorders of the fallopian tube and broad ligament. She underwent a laparoscopic procedure at an Endoscopy & Family Center on the West Coast, billed as an out-of-network case with a substantial initial charge.

Challenge:

A 30-year-old female required a complex laparoscopic procedure to treat abnormal bleeding caused by a rare anatomical condition (double uterus and fallopian tube disorders). The out-of-network facility billed $343,638.80, posing a significant financial burden.

Solution:

H.H.C. Group's attorney case manager reviewed the claim and determined the appropriate amount to pay using proprietary and public databases. After gaining direct access to the provider's decision-maker, the case manager proposed a fair, data-backed payment.

Results:

The provider agreed to accept $68,000 as full payment—an 80.2% reduction—within just 3 business days.

Financial Breakdown:

• Billed Amount: $343,638.80
• Negotiated Amount: $68,000
• Savings: $275,638.80 (80.2%)

Real People. Real Savings.

This case underscores H.H.C. Group's unmatched ability to deliver fast, expert-led savings—even on highly complex, out-of-network claims.

Contact H.H.C. Group to find out how much we can save you.