Is your company concerned about potential lawsuits from providers and balance billing from standard medical bill review processes? Provider Direct Pay (PDP) eliminates this issue!
Why can’t review systems just use an approved core set of tables, updated by the same core set of business rules to create added value by managing those settings? PDP does!
The core competency of PDP is building quality provider / payer relationships and eliminating the potential for lawsuits that keep some companies out of the medical claims reduction area. That's why (PDP) is the best option!
PDP gives you the ability to have a fixed cost at an agreed upon price eliminating any variables that consist in the standard medical review and PPO processes at a fraction of the cost.
We can start your company off with a proof of concept so you know the value of the PDP before committing to a long term contract. PDP will change the way your company reduces medical claims.
Not medical bill review, usual and customary, or a PPO service.
When your insured goes to the providers in the PDP, they present their standard insurance card so they do not have to fill out forms for each visit. (This eliminates having to pay a deductible and coinsurance)
| Service Features: |
- We contact the providers that you do business with now and present them with an agreement that we have established with your standard payment practices. This creates your own private network!
- No balance billing to the payer, patient, member or policyholder.
- NO individually reviewed bills or negotiations.
- Artisan Claims maintains your private network for you.
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| Your benefits include: |
- Billing abuse and overcharge detection
- Fair reimbursement for both payers and providers
- Experienced staff with backgrounds in claims adjusting and medical billing
- Review contracts can be customized by policy coverage – including PIP, Med-Pay, Uninsured, & Under-Insured Motorist
- Bills can be sent via mail, fax, secure email, or EDI
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| Providers participate because: |
- It reduces staff time
- It saves them money
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| Indemnification: |
Ask us how Artisan Claims will indemnify, defend, and hold harmless our Client’s against any claims, penalties, attorney’s fees, costs, losses, damages, expenses, causes of action, or judgments to the extent same arises from the negligence or willful misconduct of Company in the course of Company’s performance of services under the terms of this Agreement by Company including but not limited to: any fines, penalties or costs imposed upon Client. |
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