Trusted Expertise for
Payors, TPAs, and
Stop-Loss Carriers

For more than 30 years, H.H.C. Group has partnered with clients nationwide to deliver unbiased, evidence-based reviews and cost-containment strategies that withstand audit, litigation, and regulatory scrutiny. Our role isn't simply to "cut costs"—it's to ensure every dollar spent is appropriate, defensible, and aligned with medical necessity.
Client
Why Clients Choose H.H.C. Group
• URAC-Accredited Independent & Utilization Reviews: Neutral, evidence-based determinations by board-certified physicians across 84+ specialties.
• Attorney-Led Oversight: Every review is legally defensible, backed by audit-ready documentation.
• Comprehensive Cost Management: Claim negotiation, PPO repricing, bill review, and reference-based pricing reduce inappropriate charges while ensuring fairness.
• Proven Accuracy: Less than 0.1% reconsideration rate, with most reviews resolved in 5–7 business days.
Protecting Your Plan and Your Members
We help self-funded employers, TPAs, stop-loss carriers, unions, and health plans manage claims responsibly. That means verifying clinical appropriateness, catching errors, and negotiating fair rates — while eliminating balance billing and safeguarding member benefits.

With H.H.C. Group, you gain a partner who understands the legal, financial, and clinical pressures you face and provides solutions that work in today's complex environment.