Solutions
PRODUCT HIGHLIGHTS
FOCUSED OBJECTIVE REVIEW MANAGEMENT
Advantria’s sole focus is the case/claim at hand. The expertise, data and experience of each partner on the case can be leveraged by Advantria to ensure an objective, overall view of the case.
Further, this review and management by Advantria allows our partners to concentrate on their own, specialized, ongoing, day-to-day claim operations.
Advantria performs a no cost review of large dollar claims to determine if the current reimbursement is appropriate for that specific case. Advantria works with all of the partners involved to ensure the review encompasses every possible data point rather than too narrow a focus. This overall review ensures each partner’s expertise is used to the benefit of obtaining the best reimbursement in light of all the competing factors.
PRODUCT HIGHLIGHTS
FOCUSED OBJECTIVE REVIEW MANAGEMENT
Advantria’s sole focus is the case/claim at hand. The expertise, data and experience of each partner on the case can be leveraged by Advantria to ensure an objective, overall view of the case.
Further, this review and management by Advantria allows our partners to concentrate on their own, specialized, ongoing, day-to-day claim operations.
Advantria performs a no cost review of large dollar claims to determine if the current reimbursement is appropriate for that specific case. Advantria works with all of the partners involved to ensure the review encompasses every possible data point rather than too narrow a focus. This overall review ensures each partner’s expertise is used to the benefit of obtaining the best reimbursement in light of all the competing factors.
THIS REVIEW CAN BE CONDUCTED ON BOTH IN NETWORK AND OUT OF NETWORK CLAIMS.
CLAIM NEGOTIATION/ARBITRATION
If Advantria finds the existing reimbursement is not appropriate or may be improved, we will work directly with the medical provider(s) to obtain a fair, objective reimbursement. This third-party negotiation protects all partners by ensuring that a one off, high dollar case does not affect day-to-day claim processing relationships. This allows Advantria to work on both in network and out of network claims.
SECURE SETTLEMENTS
Whenever a settlement is secured, Advantria obtains an agreement, signed by the provider, specific to that case/claim. This ensures all parties understand what payment(s) is forthcoming and that the member is not billed for the difference between the final settlement amount and the original billed charges.
Fees are paid on a contingency basis and based solely on the results obtained by Advantria on a specific claim. If Advantria is unsuccessful, there are no fees.
ONGOING CONSULTING SOLUTIONS
Since Advantria manages and focuses only on
CLAIM NEGOTIATION/ARBITRATION
If Advantria finds the existing reimbursement is not appropriate or may be improved, we will work directly with the medical provider(s) to obtain a fair, objective reimbursement. This third-party negotiation protects all partners by ensuring that a one off, high dollar case does not affect day-to-day claim processing relationships. This allows Advantria to work on both in network and out of network claims.
SECURE SETTLEMENTS
Whenever a settlement is secured, Advantria obtains an agreement, signed by the provider, specific to that case/claim. This ensures all parties understand what payment(s) is forthcoming and that the member is not billed for the difference between the final settlement amount and the original billed charges.
Fees are paid on a contingency basis and based solely on the results obtained by Advantria on a specific claim. If Advantria is unsuccessful, there are no fees.
ONGOING CONSULTING SOLUTIONS
Since Advantria manages and focuses only on
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