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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.

Ingenix Claim Arbitration Service eliminates your exposure to discount denial or litigation risk with signed agreements with Providers on all negotiated discounts. Insurers and reinsures recognize our expertise and services for helping to lower claim costs and rates.

Ingenix delivers industry-leading results based on:

  • Strong Provider Relationships
  • Fair Reimbursement Methodologies
  • Combined Strength of Information and Strategic Analysis
  • Professional Arbitrators Custom Data Extracts

Methodology

Our negotiation methodology emphasizes ongoing relationships with Providers rather than short-term deals. Professional objective discussions based on fair reimbursement statistics results in superior discounts. We utilize information from proprietary and public datasets. Cost models, managed care reimbursement schedules and provider financials are also used to determine appropriate reimbursements.

We leverage our information and strong Provider relationships to deliver consistent savings for our clients. Attention to detail at every level of the Arbitration process has established our leadership in the industry. Ingenix invests in world-class human resources and our professional Arbitrators are skilled in effective negotiation and mediation techniques. Weekly updates and status approach ensures that positive provider relationships are sustained.

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