On July 1, H.H.C. Group celebrates its 27th anniversary of providing cost containment services to ERISA plans, TPAs, self-insured, and government entities nationwide. Founded in1995, by Dr. Bruce Roffe, its president and CEO, the company's mission from day one has been to assist payors in minimizing their liability for the medical services provided to their enrollees/members.
H.H.C. Group offers an ever-growing suite of targeted solutions to meet payers' evolving needs. It utilizes a combination of industry expertise, technical innovation, highly trained staff, and dedication to superior customer service to meet its clients' needs and exceed their expectations. Importantly, it continues to add services to meet emerging marketplace challenges.
"From day one we have worked to help our clients achieve their cost-containment goals. We have dedicated to meeting their existing and future needs in the ever-changing healthcare insurance environment," said Dr. Roffe. "We started by just negotiating claims. Over the years, we have added, and continue to add, more services to meet emerging marketplace needs. Our clients come for the savings and stay because we deliver on our promises, offer sound advice, and provide exceptional, personalized customer service."
In addition to its cost containment services, H.H.C. Group is URAC accredited Independent Review Organization (Internal & External), 5.1. The company received its initial URAC accreditation in 2004. It is licensed or certified to provide reviews by 32 states.
H.H.C. Group's services include Claim Negotiation, Claim Repricing, Medicare Based Pricing, DRG Validation, Medical Bill Review (Audit), Claims Editing, Medical Peer Review/Independent Review, Independent Medical Examinations (IME), Case Management Utilization Review, Data Mining, and Pharmacy Consulting.