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Cost Containment


We know that an important component of client satisfaction is cost savings. Accordingly, we are committed to improving efficiencies to reduce client costs through up to 60% bill review reduction, diligent and aggressive pursuit of refunds, nurse case management, as well as PPO and PBM networks with penetration in all 50 states and Puerto Rico. Additionally, we actively utilize PT, FCE and diagnostic networks. Our bill review process is performed by in-house auditors and registered nurses. Medical bill review includes at a minimum, full bill/chart analysis, negotiation of specific charges, identification of unrelated and/or duplicate charges, and verification of the results with the provider. Our cost containment unit has an average turnaround time of less than 14 business days from the date of receipt.