Negotiations

For Out-Of-Network Claims

Proven Results

The DataMetrix Negotiation Team has developed a consistent and highly effective approach to out-of-network claims negotiation. It not only maximizes savings and minimizes provider resistance, it also yields timely results at no risk to our clients.

How It Works

  1. Non-network claim submitted
  2. Claim examined using a clinical approach
  3. DataMetrix negotiates to achieve resolution
  4. An agreement is signed
  5. Encourages timely payments and claim savings

We have discarded the “hard-nosed” negotiation model and developed a more efficient and effective approach. Instead of using aggressive tactics that often support short-term objectives, our team focuses on building positive provider relationships that ensure long-term success. In our negotiation process each claim is assigned to one of our expert negotiators responsible for overseeing its progress from beginning to end. Because we use the Medicare reimbursement rate as our bottom line figure, we are able to begin the negotiation process from a position of strength.

Our positive approach with providers ensures greater success and savings. Our expertise and one-on-one attention to claims maximize client outcomes.

Negotiations

For Out-Of-Network Claims

Proven Results

The DataMetrix Negotiation Team has developed a consistent and highly effective approach to out-of-network claims negotiation. It not only maximizes savings and minimizes provider resistance, it also yields timely results at no risk to our clients.

How It Works

  1. Non-network claim submitted
  2. Claim examined using a clinical approach
  3. DataMetrix negotiates to achieve resolution
  4. An agreement is signed
  5. Encourages timely payments and claim savings

We have discarded the “hard-nosed” negotiation model and developed a more efficient and effective approach. Instead of using aggressive tactics that often support short-term objectives, our team focuses on building positive provider relationships that ensure long-term success. In our negotiation process each claim is assigned to one of our expert negotiators responsible for overseeing its progress from beginning to end. Because we use the Medicare reimbursement rate as our bottom line figure, we are able to begin the negotiation process from a position of strength.

Our positive approach with providers ensures greater success and savings. Our expertise and one-on-one attention to claims maximize client outcomes.