We are experts at engaging medical providers.
We serve P&C payers (insurers, TPAs, self-administered employers) across all insurance lines where medical providers are paid directly by institutional P&C payers.
third party liability (3P)
We have multiple solutions addressing personal and commercial auto, homeowners, and general liability.
Direct Negotiations serves non-attorney represented claims. Demand Package Review, Live Benchmarks and Claims Validation serve attorney represented claims.
workers compensation (WC)
Our experts identify leakage missed by automated software reviews.
Prospective Care addresses challenging reimbursement scenarios before services are rendered. Complex Negotiations addresses catastrophic injuries, out of state care, U&C alternatives, and other high dollar losses like air ambulance.
occupational accident (ocac)
Our Complex Negotiations team applies a unique approach to Occupational Accident cost containment. Led by fee schedule backed negotiations (50-90% discounts) and backed up by networks, U&C pricing and more.
first party auto (1P)
We put smart cost containment tools like Complex Negotiations back into the adjuster’s hands in an industry where automation is failing to address complexity. We customize our criteria to each payer to maximize program results while balancing adjuster efficiency goals.