claimnegotiationandrbp.hhcgroup.comClaim Negotiation & RBP | Healthcare Savings | H.H.C

Claim Negotiation & RBP | Healthcare Savings | H.H.C Group CALL US TODAY (301) 963-0762 QUICK CONSULT Trusted healthcare savings Pay less for every medical claim. That’s the goal for our clients at H.H.C. Group, so we apply a combination of technology, experience and bulldog tenacity to achieve the greatest savings possible. Trusted healthcare savings Pay less for every medical claim. That’s the goal for our clients at H.H.C. Group, so we apply a combination of technology, experience and bulldog tenacity to achieve the greatest savings possible. How much can we save you? Let’s find out. What Type of Entity Are You? Self-Funded Plan (TPA) Taft-Hartley Plan Broker-Consultant MGU / Stop-Loss Carrier Workers’ Comp Government Agency Medicare Advantage Plan Law Firm Other How We Help Our Clients We believe in the value of working hard and delivering on every promise we make. That’s how we’ve produced exceptional results for our clients – usually in the form of lower healthcare costs – for more than twenty-five years. It shows in our responsiveness and our reliability, and it has been rewarded by our clients’ unwavering loyalty. NEGOTATION & REPRICING NEGOTATION & REPRICING In & Out-of-Network Claim Negotiation By Attorney Negotiators Consultative Approach to Maximize Savings Short & Long Term 100% Signed Agreements Repricing by National - Regional PPO Networks Guaranteed 5-day Turnaround LEARN MORE REFERENCE BASED PRICING REFERENCE BASED PRICING RBP Compliance Officer Proprietary Repricing Software Repricing to Designated Medicare Multiple Guaranteed 3 Day Turnaround Precert/Prospective Negotiation Provider Appeal Support Personalized Patient Advocacy LEARN MORE INDEPENDENT REVIEW INDEPENDENT REVIEW URAC Accredit IRO for Internal and External Reviews Conducted By Vetted Board Certified Specialists Internal Report Quality Reviews Expedited and Urgent Reviews Available Upon Request LEARN MORE MEDICAL BILL REVIEW MEDICAL BILL REVIEW By Nurse Reviewers For Billing Errors For Reasonable and Customary Charges Free Prescreens Appeal Support Starting Day 1 LEARN MORE SPECIALTY DRUG COST MANAGEMENT SPECIALTY DRUG COST MANAGEMENT For High Cost Drug for Treating Rare, Complex or Chronic Conditions To Minimize or Eliminate Plan and Member Financial Responsibility Pharmacy and Medical Side Programs LEARN MORE WORKERS’ COMP WORKERS’ COMP Accurate Claim Repricing to Fee Schedule (FS) Claims Discounting Below FS With Signed Agreements Discounting from Billed Charges in Non-FS States Guaranteed 5 Working Day Turnaround LEARN MORE Strength in Numbers The proof is in the pudding. That expression rings true at H.H.C. Group as we showcase our bulldog tenacity for saving money for our clients on healthcare claims. Let us prove that we’re the trusted claims cost-containment company our clients rely on year after year. 0 % of claims successfully discounted 0 % average savings on negotiated claims 0 % of Workers Comp claims discounted below fee schedule FIND WAYS TO SAVE H.H.C. works on behalf of their clients to pay less for every medical claim. That’s our goal and promise to you. Our "never give up attitude," systematic approach, proprietary databases and access to the latest healthcare pricing data means we have the skill and expertise to get the job done quickly and efficiently. SPEAK TO A SPECIALIST TODAY What Type of Entity Are You? Self-Funded Plan (TPA) Taft-Hartley Plan Broker-Consultant MGU / Stop-Loss Carrier Workers’ Comp Government Agency Medicare Advantage Plan Law Firm Other We Get You the Best Rates Possible H.H.C. Group was started 25 years ago based on providing the best personal service for our clients. Our privately-owned company still gives you unmatched client service a quarter-century later. Responsiveness Timely communication with our clients and persistence with providers are two of the hallmarks of H.H.C. claims negotiation. Our case managers have decades of combined experience to move along your claims fast. The combination of technology and old-fashioned bulldog tenacity gets the job done faster and more efficiently than any competitor. High-Reliability Reliability is one of the most sought-after factors when choosing a medical claims cost-containment company. Our case managers adhere to strict internal standard guidelines for following through with bulldog tenacity. That means we are focused on your claim until it’s complete and processed with transparency every step along the way. Bulldog Tenacity Our mantra of bulldog tenacity is built based on never giving up and fighting to save you the most money. As one of the leading medical claims cost-containment companies, H.H.C. uses a combination of state-of-the-art technology and skilled service to save time and money on medical claims. Team of Industry Professionals Using 25 years of experience in processing medical claims, H.H.C. has assembled a winning team of case managers, legal experts and licensed health insurance adjusters to get the best result for your claims. That winning combination of skills and experience is what sets H.H.C. apart from our competitors. Technology H.H.C. employs a proprietary database with extensive use of data analytics to fine-tune your claims for best results. Our Reference-Based Pricing is a patented program that allows our case managers to use powerful amounts of data to find the most effective solutions for our clients. This is truly an inside job and one of the reasons our clients work with us year after year. ORGANIZATIONS WE PARTNER WITH ORGANIZATIONS WE PARTNER WITH The Power of Knowledge and Relationship Building H.H.C.’s case managers use published and proprietary databases from our extensive case history used in prior negotiations for better results on your medical claims. Employing these tools and the relationship H.H.C. had previously established with the provider, case managers secured a 67.3% reduction in the bill. Claim Type: Out of Network Provider Type: Hospital Location: Southwest Diagnosis: Patient was admitted with several digestive problems including diverticulosis. Treatment: Several procedures were performed to correct the issues. What our customers are saying "H.H.C. has assembled a team of professionals that have studied the healthcare marketplace and pinpointed vital information needed by those holding liabilities in the market - truly ‘reasonable’ costs associated with healthcare. From the Patient, to their Provider, to the Health Plan, to the Plan Sponsors, to the Insurers, ALL parties ultimately benefit from the services H.H.C. provides." Vice President, Claims Auditing Company, Massachusetts "Reliability and quality are two characteristics I value most. And both of those can be found in the operations of H.H.C. Group. I have personally been working with your company since 2009 and there has not been a day when I had to worry, stress, or complain about professionalism. The team at H.H.C. Group values both time and money, and delivers results within the stipulated deadlines." Operations Liaison, TPA, Pennsylvania "Congratulations on 25 years! H.H.C. Group is an amazing company, providing excellent service to all its clients! Thank you for all you do!" Implementation Manager, TPA, Texas "HHC assists in "off menu" requests as well as ones we are currently contracted for. HHC is typically the first vendor I think of when I get approached an out of the ordinary request." Director of Managed Care, TPA, Illinois "When I think of HHC Group, I think of a very positive & pleasant company to do business with. I know they will meet my needs." Case Manager, Stop-Loss Division, Insurance Company, District of Columbia "You and your team are absolutely amazing!" Utilization Review Nurse, Health Plan, Texas HHC Group has earned accreditation by URAC H.H.C. Group is a proud member of the Utilization Review Accreditation Commission (URAC) whose members are the gold standard in medical care services. This means that we have the highest level of quality...