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H.H.C. Group Launches Surprise Bill Resolution Assistance Service

April 30, 2021 H.H.C. Group Launches Surprise Bill Resolution Assistance Service

H.H.C. Group today announced the launch of its Surprise Bill Resolution Assistance Service (SBRAS). SBRAS is designed to assist payers in states that already have comprehensive or partial balance billing laws in place, and those who will be impacted by the No Surprise Act passed in late 2020, which will go into effect on January 1, 2022.

SBRAS will support payers of medical claims in negotiating appropriate payment amounts for medical bills, and enable them to present a strong case should a claim go to Independent Dispute Resolution (IDR).

SBRAS options include; negotiation by H.H.C. Group to achieve satisfactory settlements with providers, provision of information to payers who chose to negotiate directly with providers themselves and supplying of information for payers to give the IDR entity to support their payment amount offers when disputes go to IDR.

H.H.C. Group is uniquely well qualified to provide this service given its:

  • 25+ years of experience successfully negotiating settlements on medical bills on behalf of payers nationally;

  • Highly experienced, attorney, licensed health insurance adjustor negotiators;

  • Proprietary database with access to multiple published databases;

  • Medical Bill Review product to identify costly errors in claims;

  • Panel of Board Certified Physicians and other healthcare professionals to determine whether treatments are medically necessary, medically appropriate, or otherwise qualify or do not qualify for payment. (H.H.C. Group is a URAC Independent Review Organization from 2004 for Internal and External Review)

  • About H.H.C. Group

    H.H.C. Group is a leading national health insurance consulting company providing a wide range of cost containment solutions for Insurers, Reinsurers, MGU's, Third Party Administrators, Self-Insured Employee Health Plans, Taft-Hartley Plans, Health Maintenance Organizations (HMOs), Federal Medicare Advantage Plans, ERISA, and Government Health Plans. H.H.C. Group utilizes a combination of highly skilled professionals and advanced information technology tools to consistently deliver targeted solutions, significant savings, and exceptional client service.

    H.H.C. Group's services include Claim Negotiation, Claim Repricing, Medicare Based Pricing, DRG Validation, Medical Bill Review (Audit), Claims Editing, Medical Peer Reviews/Independent Reviews, Independent Medical Examinations (IME), Case Management Utilization Review, Data Mining, Disease Management, and Pharmacy Consulting.

    For additional information about H.H.C. Group and our services, visit our website or contact Bob Serber at rserber@hhcgroup.com or 301-963-0762 ext. 163.