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Claims Negotiation and Repricing

HHC Can Help With:

  • 100% signed agreements
  • No patient balance bills
  • Consultative approach for deeper discounts on more claims short and long-term

Claims Negotiation. HHC Can Help.

Sometimes, providers bill more than is appropriate for the services they deliver. When they do, our self-insured clients have us negotiate discounts on their out-of-network claims and on larger in-network claims (when it's allowed) and we excel at it. Our attorney negotiators start by examining each claim to identify any obvious errors.

They then determine the appropriate amount to pay for the services provided based on published databases and HHC's proprietary database detailing our history with the provider, giving them a starting place for their negotiations.

Armed with this information, they contact the provider, make their way to the decision maker and, taking a consultative approach, secure a signed agreement from the provider to accept the negotiated amount as payment in full.

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Claims Repricing. HHC Can Get the Job Done.

When it will maximize our clients' savings or if we are unable to negotiate a settlement with a provider we turn to our national, regional and local preferred provider network (PPO) partners. We tap their agreements with over 1.2 million professionals and 6.5 thousand facilities to accept discounted rates as payment in full for their services. Importantly, we customize network routing to maximize client savings. We also validate the discounts on very large claims to avoid costly reversals--all within 5 business days. HHC can help with:

  • Customized routing to maximize payer savings
  • No patient balance bills
  • Less than 1% reversals
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Maximizing Client Savings Since 1995


H.H.C. Group is uniquely well qualified to provide this service given its:
  • 26+ years of experience successfully negotiating settlements on medical bills on behalf of payers nationally;
  • Highly experienced, attorney, licensed health insurance adjustor negotiators;
  • Proprietary database and access to multiple published databases;
HHC Group Claims Negotiation Repricing insurance filing

We'll get the job done for you!

CONTACT US FOR A CONSULTATION

CLAIMS NEGOTIATION AND REPRICING RESOURCES

out of control hospital costs
OUT OF CONTROL HOSPITAL COSTS

The government and commercial insurers spend an estimated $298.5 billion in hospital costs annually. Per capita hospital expenditures in the U.S. are 50% higher than those in all but one other industrialized nation. The percentage is even higher for private insurers who pay 40% of all hospital bills.

savings is your top priority
PROVIDER CONSOLIDATION - HIGHER PRICES, NOT HIGHER QUALITY

Provider consolidation continues unabated and, as a result, prices for health care just keep rising. Research shows that consolidation is leading to significantly higher prices for private insurance, but not an improvement in quality for patients.

the healthcare negotiator
THE HEALTH CARE NEGOTIATOR

A professional health care price gladiator says negotiating conditions seem to be about the same as they've been for the past 20 years, when he first climbed into the arena. Prices continue to be all over the place, and the providers' willingness to bend on price also continues to be highly variable, according to Bruce Roffe, president of HHC Group.

HHC Group Savings is Your Top Priorty
SHOW YOUR CLIENTS THAT SAVINGS IS YOUR TOP PRIORITY

Commissions, as a percentage of your clients' premiums, likely comprise the lion's share of your income. So it's only logical that when your clients' renewals roll around, you present them with options from a short list of conventional, fully-insured health plans similar to their existing coverage.