Knight Medical Billing

Out of Network Negotiation

Out of Network Negotiation

Knight Medical Billing Out of Network Negotiation Services

Negotiating Out of Network claims is an important feature of Out of network billing especially for Hospitals and Free Standing Emergency Rooms. Our Negotiation Settlement team at Knight Medical Billing has decades of expertise in medical billing and coding, and Revenue Cycle Management, especially in Hospitals and Free Standing Emergency Rooms.

Having KMB medical bill negotiators to take care of your Out of Network Negotiation settlements and underpaid appeals will greatly benefit you because it isn’t an easy process to deal with the Insurance companies and their tactics to hide behind these negotiating vendors minimizing your bill reimbursement based on benefits limitations.

Our Medical Billing Negotiation Service Approach

Our out of network negotiation settlement team will utilize their expertise and OON database to negotiate on your underpaid claims with insurance companies and negotiation vendors i.e. Multiplan, Viant, Zelis etc. on your behalf. We know their terminology and we know all the tricks of negotiating the best rates for our clients. Out-of-network billing is the trickiest aspect of billing, and we are well-known in this industry as the experts in the field.

We protect your patients by carefully analyzing historical data based on your locality and negotiating based on the analysis. Knight Medical Billing ensures that we negotiate each claim, on your behalf, as well as your patients, so that they are not stuck with a massive out-of-pocket expense.

We’ve been navigating these insurance companies and negotiation vendors for more than 10 years on pre-payment and post-payment negotiations which helped us to create our own OON database which we utilize to identify underpaid claims. We know that Insurance companies utilize employer preferences and limitations in determining reimbursement on your medical claims but still, our negotiation settlement team knows how to identify limited benefit policies and employer preferences which help us to negotiate your bills on maximum re-pricing.

Pre-Payment:

Settlement offers received from Negotiation vendors on behalf of Insurance companies prior to claim reimbursement.

Post-Payment:

The claim is reimbursed by the Insurance Company based on pricing provided by the Negotiation/pricing vendor, and the claim is re-opened for Negotiation.

At the End, we advise you to use quality control procedures, structured billing processes, and appropriate out of network negotiation services to ensure error-free billing and maximum payments.

Contact Us:

Contact Knight Medical Billing today at admin@knightmedicalbilling.com for your consultation. There are multiple advantages to allowing us to become a part of your team. We will help you increase your cash and patient flow while also helping you to streamline your work. Our team is more than just a billing company. Contact us to learn more about how we can help you.

Scroll to Top