Strategic Bill Negotiation

---

Strategic negotiation is not a prompt-pay discount. Instead, we review each bill to see if the charges accurately reflect the procedure, facility usage, supply usage, and other factors. Our process incorporates a physician-based understanding of medical bill review and analysis to identify and correct billing errors such as upcoding, unbundling, medically unlikely events and duplicate charges. The corrected bill is then analyzed for egregious mark-ups (e.g., implants) and overcharges based on public and private data sources accumulated and continuously updated over our 14-year history.

Qmedtrix negotiators talk with providers to arrive at a mutually acceptable reimbursement within the regulatory parameters or policy provisions that apply. A signed settlement agreement is obtained from the authorized provider representative to prevent balance billing to the payer, patient, member, or policyholder. This reasonable approach can be used for any coverage type and results in savings to the payer and fair payment to the provider.