Bill Negotiation
Lowering Costs Through Bill Negotiation
Before you pay a medical bill, know your options! Many people don’t realize they might not have to pay the full amount — or anything at all. Hospitals often offer substantial discounts through financial assistance programs. If you don’t qualify, or if your bills are from non-hospital services, expert bill negotiators can still help reduce your out-of-pocket costs.
Expertise
An Advocate Your Members Need
Bill negotiation isn’t just about dollars and cents—it’s about fairness and clarity in a system that often lacks both. By engaging with healthcare providers and insurance companies, medical billing specialists and legal experts work to lower member costs, correct billing errors and uncover any potential discounts or assistance programs.
Our Perspective
Navigating medical bills involves an intricate knowledge of healthcare billing systems, patient rights, and negotiation techniques. We help members engage with and understand their medical bills better.
Why Medical Bill Negotiation Matters
Patients often face bills that are difficult to interpret or justify, leading to potential overpayments. By advocating for clear and justified billing, we contribute to a more equitable healthcare system.
The Broader Impact
Beyond individual savings, effective bill negotiation corrects overcharges and advocates for reasonable pricing, helping control rising healthcare costs and benefiting the entire system.
Why choose us?
20+
Years of Experience
Our skilled negotiators have been trusted by top insurance carriers, TPAs, and employers across the nation.
85%+
Success Rate
Our team has a high success rate in reducing out-of-network and other medical bills.
50%
Average Savings
On average, our clients save between 30% to 50%, with some bills completely eliminated.
Solutions
Our Solutions
Navigator
Full-service healthcare guidance
HFA technology, bill review and negotiation, plus one-tap access to navigation services for lower-cost care, pharmacy discounts and human help whenever needed.
BillAssist
Lower high-cost medical bills
Our technology helps employees quickly determine eligibility for hospital financial assistance (HFA) and connects them with a navigator who can review bills for accuracy and negotiate lower out-of-pocket costs.
+ DebtProtect
An extra layer of medical debt protection, offering members a payment up to a selected dollar amount, annually. *Program amount tailored to group needs.
Bill Negotiation FAQs
Many providers are willing to negotiate bills or establish payment plans, but the process can be tedious and frustrating without the right support. Expert bill negotiators can provide invaluable assistance, ensuring you receive accurate billing and the best possible financial outcomes.
How long does bill negotiation take?
The duration of bill negotiations can vary significantly based on the healthcare facility and the complexity of the bill. Sometimes, the process is straightforward, with providers accepting a negotiated rate quickly. In other cases, it may require multiple discussions and approvals, extending the timeline from a few hours to several weeks.
Is this something employees can do on their own?
While employees can attempt to negotiate their bills independently, it’s often a daunting and time-consuming task. Our trained negotiators bring specialized expertise to the table, ensuring that bills are accurate and negotiating effectively on behalf of patients. They understand the intricacies of medical billing and coding, EOBs, network discounts, and the legal aspects of healthcare billing. This expertise allows us to reduce bills more effectively than most individuals could on their own.
How much is the typical bill lowered?
The amount saved on a bill can vary. For in-network bills, savings can be up to 30%, although these are more challenging due to existing contractual obligations between insurance companies and providers. For out-of-network bills, we typically see savings of 40-50%, as there is more room for negotiation.
Who negotiates the bill on my behalf?
Our team includes highly trained advocates and legal experts with extensive healthcare backgrounds. They understand financial responsibility and appropriate billing practices. With their deep knowledge and experience, they ensure that healthcare bills are negotiated accurately and effectively, securing the best possible financial outcome for you.
Industry Impact
