Out of Network Solutions
Mitchell Out of Network Solutions provides a wide array of negotiation and specialty bill review services to insurance carriers, third-party administrators, self-administered employers, and injury claims professionals that result in successful healthcare cost containment. For more than two decades, our clients have realized over $1 billion in benefit opportunity for their policyholder customers involved in injury claims.
Our team’s expertise extends across a wide variety of industries, which is a critical component in providing best-in-class customer service. Mitchell acts as an advocate for all of our clients, representing their best interest in every review and provider interaction.
A New Era
With the recent acquisition of FAIRPAY, Mitchell enters a new era in cost containment services. We are able to leverage Mitchell provider data, consisting of two decades of history and positive relationships, and combine these assets with FAIRPAY’s data and expertise in Specialty Bill Review data.
Through this powerful combination of services and established provider relationships, we are able to use our fully combined data assets to deliver data driven, results based Preferred Provider Organization/Out of Network tiering. The result is optimization via highest yield solution positioning to empower better outcomes.
An additional new service is Square One Solutions℠ a prospective or concurrent negotiation solution for securing savings on any pre-approved inpatient facility stay, such as surgical procedures, inpatient rehabilitation, long-term care or any extended care stay.
Benefits for Clients
- Best in class products produce even better outcomes as combined solution
- Combined solutions drive Mitchell’s commitment to improve year-over-year outcomes
- Data analytics and product innovation capabilities deliver exceptional results with great service
- Prompt pay is the standard that provides measurably better outcomes
- Providers more willing to negotiate for date certain payment
- Harmonious, long standing relationships with all provider types
Learn about the 5 critical tools you will need in order to develop an Out of Network negotiated settlement strategy that can help you maximize medical cost savings.
February 26, 2013
Mitchell releases predictions for trends related to cloud computing and big data analytics that could affect the insurance industry throughout 2013
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November 27, 2012
Though claimants often have a choice when it comes to medical providers, charges for treating with out-of-network providers can be substantially higher than charges submitted by doctors in preferred provider networks…
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