The Challenge
Property and casualty – Network-based
An auto medical services provider wanted to distinguish its network-based cost management program to sensitive auto insurance carriers by demonstrating:
- Minimal provider noise through the use of network contracts to reduce medical cost
- Effective dispute resolution processing
The Solution
Ïã¸ÛÁùºÏ²ÊÏÖ³¡¿ª½±Íø customized a process for the company to document success in resolving disputes:
- Custom reports to oversee its internal escalation process and compliance with turnaround time requirements
- Monitoring tool to gauge its staff’s compliance with internal processes and guidelines
- Proactive dispute resolution to alleviate carrier concerns, often more perception than reality
The Results
Ïã¸ÛÁùºÏ²ÊÏÖ³¡¿ª½±Íø’s program enables superior carrier retention:
- Dispute rate less than 1% of bills processed
- Consistent achievement of contractual turnaround time obligations