Who's Negotiating Your Claims — and Are They Qualified to Protect You?

December 16, 2025 Not all cost-containment vendors are created equal. Many claim to "negotiate" but few can tell you who's actually doing the work or what qualifies them to deliver superior results that hold up under legal, financial and clinical scrutiny.

The Human Touch in Cost Containment
At HHC Group, negotiation isn't automated. It's done by real people — trained, licensed and certified experts with decades of experience and a commitment to accuracy, compliance and fairness. Our differentiator is the depth of expertise behind every negotiation. Here's how H.H.C. Group stands apart — and why that difference matters to your bottom line.

Specialized. Certified. Accountable.

Licensed Health Insurance Adjusters
Every H.H.C. Group negotiator is a licensed health insurance adjuster who has passed rigorous state exams and completes ongoing continuing education. That means every negotiation is legally sound, contractually defensible and fully compliant with state and federal regulations.

Attorney-Led Negotiation Strategy
H.H.C. Group's negotiation team includes legal experts who understand contracts, payment terms and regulatory frameworks inside and out. Our strength is the ability to gather and organize key facts, read their audience and present a clear, logical, compelling case for the appropriate reimbursement for the services provided.

Certified Coders & Licensed Pharmacists

Accuracy begins with expertise. Our certified coders ensure the correctness of the codes submitted for the services provided, and our licensed pharmacists confirm the appropriateness of the drugs and quantities billed on the claim.

ISO 9001:2015 & ISO/IEC 27001:2022 Certified

H.H.C. Group's processes meet internationally recognized quality standards for accuracy and documentation. That means fewer errors, faster turnaround and stronger outcomes.

Reference-Based Pricing and DRG Validation

We expose inflated charges and validate billed diagnoses at the medical record level, repricing claims against Medicare benchmarks to ensure every payment is clinically grounded, contractually fair and financially sound.

Leadership That Understands the Stakes

Bruce Roffe, a licensed pharmacist with hospital experience and a licensed insurance adjuster, has led H.H.C. Group's highly successful cost-containment efforts for more than 30 years. H.H.C. Group's leadership team brings decades of experience navigating the intersection of cost, compliance and care quality.

Lou Fiscella, Vice President of Sales, holds a Texas Department of Insurance Life & Health license and brings over 20 years of experience in healthcare strategy, including leadership roles at CVS Health and Aetna.

"With rising costs and greater regulatory scrutiny, organizations need partners who deliver savings with compliance. That's exactly what we do." — Lou Fiscella

What H.H.C. Group Brings to the Table

Attorney-Led Negotiators & Licensed Health Insurance Adjusters: Legal precision, regulatory compliance and full transparency in every negotiation.

Certified Coders & Licensed Pharmacists: Line-by-line claim accuracy and clinical integrity.

30 Years of Relationships for Results: Providers nationwide know us — and take our calls — because our process is fair, fast and credible.

Independent Clinical Reviews & Reference-Based Pricing: Every dollar paid is clinically necessary, contractually defensible and financially fair.

Don't Walk Away From Superior Savings
If your current cost-containment vendor is not doing everything H.H.C. Group does, you may be leaving a lot of money on the table. Every claim is an opportunity to protect your plan, reduce spend and ensure fair provider payments.

Contact HHC Group today and bring us your toughest claims — our real people deliver real results.