Claim Negotiation

There is a $65 billion dollar claims payment industry that exists to provide for unregulated healthcare discounts that according to the American Medical Association “add no value whatsoever to the health system. This industry thrives in a health care market that lacks transparency and exist solely to traffic provider discounts“. Also, according to the AMA, “it may be hard to imagine, that one rental network PPO has hundreds of other payers and affiliates to whom it “sells” or "rents" various provider panel and associated discounts”.

NHPN employs expert claims negotiators to give their clients best practice processing, turn key implementation that eliminates internal resources being inundated with payer fee negotiation requests. Payers pay millions in fees annually to organizations that specializes in lowering provider reimbursements from non-contracted healthcare services. Providers current primary response is retrospective; creating the opportunity for payer's to utilize aggressive cost containment initiatives. NHPN seamlessly reengineers the retrospective process to a prospective solution allowing the providers to elimination unauthorized claims repricing and aggressive fee negotiations. Our clients immediately see work flow efficiencies, lower overhead, increased commercial collections, decreased account receivable days and lower overhead.

"The result at our initial facility far exceeded expectations. The expansion of the program allows NHPN to implement changes in our work flow which will accelerate the collection process, decrease administrative overhead and improve reimbursement throughout of facilities." — Mr. Steve Wylie, Vice President Financial Operation of Essent Healthcare. Brentwood, TN