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Comprehensive Solutions for Property and Casualty Healthcare Payers

Comprehensive solutions for property and casualty healthcare payers 

 Workers' Compensation

Restore productivity for injured workers more quickly and cost effectively. Learn more

Auto Medical

Get more value from your liability dollars – for you and for your policyholders. Learn more
Our Workers' Compensation Healthcare Network At-a-Glance

3,900 acute-care hospitals treat injured workers

162,000 ancillary care facilities treat injured workers

650,000 medical professionals treat injured workers

Our Healthcare Network for Auto Medical Payers At-a-Glance

3,100 acute-care hospitals treat auto-related injuries

109,000 ancillary care facilities treat auto-related injuries

600,000 medical professionals treat auto-related injuries

Ensuring Healthcare Network Quality
  • We contract directly with over 99% of our network providers
  • We credential providers every three years using nationally recognized accreditation standards, and monitor for quality continuously
  • Most providers offer discounts below state fee schedules or usual & customary reductions
  • Our comprehensive data quality program uses data mining, self-service portal tools, and an outbound call center staffed by full-time MultiPlan employees
Enhance Your Bill Review with Advanced Payment Integrity

Your bill review program can’t be beat when it comes to applying juris rules and standard edits. You may even incorporate nurse reviews. But provider billing grows more complex every day. MultiPlan’s Payment Integrity services combine automation with clinical review by a board certified physician, certified coder or licensed nurse so that we can target costly, hard-to-catch issues like contradictory or overlapping services, unlikely service combinations and suspect billing patterns.

We fit seamlessly into your bill review process to help you address billing waste and abuse, and deliver an additional 1% to 2% reduction in medical spend.

Containing Out-of-Network Medical Spend
Data iSightDefensible, highly accepted pricing methodology for bills with no established fee schedule
  • Facility bill pricing based on the cost of like providers and medical bills
  • Professional bill pricing based on median accepted reimbursement amounts
  • Uses geographically adjusted, publicly-available data
  • Posts explanations online for complete pricing transparency
MultiPlan Negotiation ServicesOur 300 negotiators and support staff use sophisticated technology and financial benchmarks to drive success
  • Fingertip access to Medicare, bill review allowed, contract rates and Data iSight pricing
  • Combines automated and telephonic outreach based on bill size
  • Turnaround in 5 or fewer days
  • Minimum negotiation amount only $25
Data iSight-Driven NegotiationsUse our patented methodology to set your internal negotiation strategy
  • Your negotiators have access to the Data iSight price and explanation of methodology
  • Clients can apply the Data iSight price if a negotiated agreement is not reached
Contact UsImprove competitiveness and reduce medical spend. Use MultiPlan's payment integrity and cost management services to enhance the value of your property and casualty bill review and managed care program. Learn more