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PRIMEnegotiations

Always Ready to Negotiate

Whether for a specific client need or an individual bill, we have staff ready to perform negotiations within a 72 business hour period. Our experience with this process enables us to achieve the maximum amount of savings, which is often competitive with Medicare rates.

Whether for a specific client need or an individual bill, we have staff ready to perform negotiations within a 72 business hour period. Our experience with this process enables us to achieve the maximum amount of savings, which is often competitive with Medicare rates.

The Prime Health negotiations solution utilizes qualified negotiations professionals who pay close attention to medical charge billing while thoughtfully and expeditiously researching and negotiating claims for appropriate level of payment. We systematically analyze the provider’s processed claims historic data in order to derive their “market acceptable” level of reimbursement.

Process

The Prime Health negotiations team continually communicates with you throughout the negotiation process.

  1. claims sent to the Prime Health professional negotiations staff
  2. medical fee reductions determined through a blend of database queries and provider negotiations expertise
  3. adjusted claims sent to provider: negotiation staff members expedite provider negotiation
  4. sign-offs on all bill negotiations with the providers
  5. prompt savings results!

Benefits

The Prime Health negotiation team’s ability to work with the provider to offer you fair and reasonable payment outcomes will benefit your bottom line savings. Our staff has the knowledge of most of the provider groups and facilities in question, the understanding of the markets, state rules/guidelines, as well as the familiarity with many of the actual billing departments of hospitals and facilities across the country.

The blend of Prime Health’s experienced and knowledgeable staff matched with Prime systems’ rapid response and reporting tools that execute the negotiated savings will deliver strong value to you and your clients.