By the Numbers
Out of network treatment bills are 118% to 1,382% higher than the federal Medicare system is billed.
One study found that when insureds went to an in-network hospital, they received an out of network bill 22% of the time.
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 provide oversight into Provider Payment Accuracy, Other Payer Liability, Carrier Invoice Reconciliation, and Strategic Partner Oversight.
Provider Payment Accuracy