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SmartPrice Solutions

Out of Network Solutions

Consider the factors involved when reviewing your company’s medical bills—statutes, precedents, regional specifics and other variables come into play. When you deal with a claim, the terminology, the paperwork, and the bill itself can be difficult to comprehend and ultimately process correctly —and most importantly — in the most cost-efficient way.

Our SmartPrice Solutions intelligently and strategically help payors manage this process. By using a combination of negotiations, market value pricing and charge validation analysis, payors can improve outcomes on a state-by-state basis, leading to overall program improvement.

Market Value Pricing and Charge Validation Analysis

Market value pricing leverages best-in-class data, experience and government relations.


Be effective in your out of network environment.


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Out of Network Solutions Video

Learn about the 5 critical tools you will need in order to develop an Out of Network negotiated settlement strategy that can help ...

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