Person Analyzing Statistics

By the Numbers

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Out of network treatment bills are 118% to 1,382% higher than the federal Medicare system is billed.
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One study found that when insureds went to an in-network hospital, they received an out of network bill 22% of the time.
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Self-insured and third-party networks are narrowing, with 70% of plans on healthcare exchanges classified as narrow.
Out of network treatment bills are 118% to 1,382% higher than the federal Medicare system is billed.

4C | Your Solution

4C Financial & Operational Controls provides oversight into Claim Payment Accuracy, Payment Responsibility as well as Plan Payment Reconciliation.

Claim Payment Accuracy

4C’s Payment Validation coupled with Usage and Trend Analysis span a broad range of oversight.