Integrated Repricing Network
A solution for out of network claims that accesses 50+ national and regional PPO networks through a single interface, and uses routing optimization to achieve maximum savings.
Integrate seamlessly with 50+ national and regional PPO networks through a single interface.
Uses proprietary routing optimization to achieve maximum savings.
Can be combined with additional layers of claims cost management technology, including clinical code edits and Record Review logic, prior to claim routing.
The ability to customize out of network claim management using three primary repricing models, including PPO Repricing, Cost-Based Fee Negotiation Services, and Reference Based Repricing.