Surprise Medical Billing Solutions
Proactive, Highly Attentive, and Smart: Your Trusted Out-of-Network Billing Partner, Wise Medical Billing
We make sure all necessary information is collected at initial contact, particularly regarding patient history and benefits.
Our staff will review your current practices and policies to make sure you’re abiding by all state and federal laws to protect you from future audits and/or litigation.
Our trained personnel will track each patient check so that the appropriate patient portion is collected.
We create the proper messaging so patients understand their responsibilities and expectations, which is helpful later when negotiations and/or appeals with insurance companies materialize.
Our Expert Negotiation Strategies
At Wise Medical Billing, we prioritize safeguarding your patients by employing a creative and data-driven approach. Our expert team meticulously analyzes historical data relevant to your locality, leveraging it to negotiate claims effectively. We ensure that each claim is negotiated on your and your patients' behalf, sparing them from exorbitant out-of-pocket expenses.
With over a decade of experience, we've mastered the art of negotiating with insurance companies and their vendors both before and after claim reimbursement. This extensive experience has enabled us to build our own proprietary out-of-network (OON) database, a valuable resource for identifying underpaid claims. While insurance companies consider employer preferences and limitations when reimbursing medical claims, our skilled negotiation team knows how to pinpoint limited benefit policies and employer preferences, facilitating the negotiation of your bills for maximum repricing.
Pre-Payment: We actively engage with negotiation vendors, representing insurance companies, to secure favorable settlement offers prior to claim reimbursement, ensuring you receive optimal compensation.
Post-Payment: When a claim is reimbursed by the insurance company based on pricing provided by negotiation or pricing vendors, we revisit the claim and negotiate further, aiming to maximize reimbursement.
Negotiations and Filling Appeals
In today’s healthcare landscape, insurance providers are increasingly stringent in limiting reimbursements for healthcare providers. To amplify your practice’s out-of-network revenue, align with Wise Medical Billing, a dedicated partner well-versed in navigating the complexities of out-of-network billing. With extensive experience in overcoming insurance roadblocks, we will craft a personalized solution and streamlined process for your practice. Trust us to elevate your revenue potential and seamlessly navigate the reimbursement journey.
Why Partner with WMB OON Billing:
Please do not hesitate to contact us today for a quick call consultation or a demonstration of our services.