No matter how strong your HMO or PPO is, there will
be bills from providers not in your network. Most companies only reprice between
45-60% of their out of network claims, and the remaining 55-40% are paid in
full. This can amount to a loss of millions of dollars in potential savings.
Even the best network configuration can have 10-30% of claims fall out
of network. Paying these claims at full price or at the Usual and Customary Rate
can result in millions of dollars in losses over a period of time. A
company of 5,000 employees with 10% of claims falling out of network could mean
nearly $3,000,000 annually in out of network claims. Let us wash those claims
through our networks and maximize your savings and minimize your
loses.
We streamline your repricing and adjudication processes by
providing access to over 100 Preferred Provider Organizations nationwide, as
well as leading edge technology and negotiation services.
Alliance has
an 80% success rate in negotiating discounts directly with the doctors and
hospitals that fall outside of our networks. The average saving is between
15-60% and all acceptances from the provider are in writing, which prevents
balance billing
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