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Reference-Based Pricing

We deliver industry-leading discounts through our comprehensive claim negotiation program. By combining our advanced technology with our highly experienced claim settlement professionals, we offer a powerful solution that generates the highest quality discounts.

We are able to achieve fair and equitable pricing for our health plans by incorporating cost trend analysis, applying service-line level benchmark analysis and instituting comparative provider analysis. Our service-oriented approach and data-driven methodologies allow us to develop a rapport with the providers so we can deliver industry-leading results to our clients.

All discounts are secured with a signed settlement agreement that protects our clients and their members from balance billing or appeals. We build trust among the payer and provider community through high-integrity, transparent, and effective negotiations that are mutually beneficial to all parties involved.