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 provide oversight into Provider Payment Accuracy, Other Payer Liability, Carrier Invoice Reconciliation, and Strategic Partner Oversight.

Provider Payment Accuracy

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