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


Be effective in your out of network environment.


Mitchell Issues 2nd Quarter 2019 Industry Trends Report

“Humane” Automation, Avoiding Adjuster “Decision Fatigue,” and Auto Claims Collide with Climate Change.

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Interactive Industry Trends Report

We are proud to continue bringing timely, actionable data to our clients in the pages of the Industry Trends Report.

View the Report


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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