Medical Bill Negotiation Services
Members who elect to activate the Medical Bill Negotiation Service will have the piece of mind that if they face a major medical expense, they can engage the professional medical bill negotiation services from our partner Preferred Network Access, Inc, or PNA.
As a general rule, the medical bill negotiation professionals from PNA are able to reduce medium, large, and extra large medical bills by as much as 30%.
Learn More About The Medical Bill Negotiation Benefit
PNA provides members a professional service that negotiates doctor or dentist/provider/hospital charges, billing errors, catastrophic loss, excessive claims and over billing including mediation of bill and/or claims settlement. This service also allows a member to pre-negotiate planned out-patient and hospital settlement up front prior to admittance and receiving services, procedures and/or surgeries including but not limited to hospital stays. Members may see their medical liabilities reduced as much as 30% in most cases. Also included in this service is the ability for PNA to negotiate outstanding bills on behalf of the member that existed prior to the effective date of the membership.
– No restrictions on dollar amount or claim type – the service applies universally regardless of variables
– Fees are a percentage of savings which do not inflate fixed costs
– Provider sign-off eliminates balance billing and discount reversal
– Specialty negotiations applicable for transplants and dialysis
– Applies to in and out-of-network claims
Using our Medical Bill negotiation services is easy.
Step 1. Contact us at 888-628-6284 and select extension 708 regarding outstanding balance.
Step 2. Service will verify with payor the following:
– Eligibility of patient
– Procedure is a covered benefit under plan
– Charges are not above Reasonable and Customary
– Claim can be paid within 10 or 15 business days
Step 3. After criteria are met, PNA will begin negotiation with Provider
Step 4. Negotiations are usually completed within five business days
Step 5. Provider contractually agrees in writing to the negotiated discount
Step 6. Repricing cover sheet and claim are faxed or sent electronically to payor for final payment
The Medical Bill Re-Negotiation Service is perfumed by our Partner, Preferred Network Access, Inc (PNA).
PNA is a health care cost containment company that has been serving the health care needs of clients since 1995. At PNA, the personal attention they bestow on clients offers them an additional benefit: peace of mind. They understand the confusion that often accompanies health care issues. That’s why they work closely with members to facilitate quick claim resolution.
Invoice Balance Obligation
In order for your healthcare provider to accept the deeply reduced contact rates, the invoice balance must be paid in full at the time of the visit. If payment in full is not possible, the savings may not be achieved. If payment in full is a concern, you may qualify for payment flexibility thru Sociallity or low interest medical financing.