The Challenge

Property and casualty – Network-based

An auto medical services provider wanted to distinguish its network-based cost management program to sensitive auto insurance carriers by demonstrating:

  • Minimal provider noise through the use of network contracts to reduce medical cost
  • Effective dispute resolution processing

The Solution

ĤƵ customized a process for the company to document success in resolving disputes:

  • Custom reports to oversee its internal escalation process and compliance with turnaround time requirements
  • Monitoring tool to gauge its staff’s compliance with internal processes and guidelines
  • Proactive dispute resolution to alleviate carrier concerns, often more perception than reality

The Results

ĤƵ’s program enables superior carrier retention:

  • Dispute rate less than 1% of bills processed
  • Consistent achievement of contractual turnaround time obligations