Payers
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Data Benchmarking and Pricing Solutions

This solution suite combines data from powerful databases of relative and actual charge data to help you develop your own reimbursement schedule for both in- and out-of-network claim payments.

Increase confidence and efficiency when:

  • Reviewing claims
  • Negotiating service contracts
  • Managing reimbursement risk
  • Developing network fee schedules
  • Resolving data challenges and appeals

Products:


Benchmarking Services
Ingenix Benchmarking Services encompass a variety of service bureau and consulting services that draw upon the capabilities of our vast standardized claims data assets, our powerful analytical applications, and our considerable professional expertise.
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Claim Arbitration Services
Save more on provider and facility out-of-network claims. Ingenix Claim Arbitration Services deliver an effective out-of-network solution for medical claim cost containment that rivals and exceeds most “silent” or “stacked “PPO solutions.
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MDR®
The MDR Payment System is a powerful relational database of Relative and Actual Charge Data (RACD) that helps you manage your costs and payments for fee schedule development for out-of-network and non-negotiated services.
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PHCS®
The Ingenix Prevailing Healthcare Charges System (PHCS) is a powerful database tool that helps you manage your costs and develop your fee schedule for out-of-network and non-negotiated services and negotiate service contracts with greater confidence.
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