Commercial Health
Provider Network Services
With over 230,000 health care providers throughout the US, MediNcrease Health Plans (MHP) maintains one of the largest privately-owned multi-specialty networks in the country. MHP providers deliver quality care at significantly discounted rates for MHP Commercial Health Clients and their beneficiaries.
Claim Negotiation Services
MHP negotiations incorporate aspects of our medical bill audit program resulting in meaningful savings signed off on by the provider for in-network and out-of-network claims.
Medical Bill Audit Services
For in-network and out-of-network claims, MHP uses highly defensible proprietary and public benchmark criteria to ensure appropriateness of charges. The audit identifies billing errors, atypical charges, duplicate charges, unbundled services, and charges that exceed reasonable & customary pricing in a given market. MHP audits deliver significant reductions to billed charges before provider contractual discounts are applied.
No Surprises Act (NSA) Solution
Our NSA Navigator solution identifies claims covered under NSA legislation and calculates the most cost- effective Qualified Payment Amount (QPA). Our NSA Navigator program includes dedicated, competent post-payment management services.
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Auto Medical Network
Provider Network Services
The MediNcrease Health Plans (MHP) Auto Medical Network includes over 215,000 participating providers throughout the US specifically contracted for Auto Medical insurance. MHP Auto Medical providers deliver quality care at significant discounts below state fee schedule and usual & customary reductions.
The MHP Auto Medical Network includes an abundance of provider specialties and facilities frequently utilized by motor vehicle injured patients:
- Urgent care
- Imaging
- Orthopedic
- Neurology
- Physical therapy
- Occupational therapy
- Ambulatory surgery centers
- Rehabilitation facilities
- Other physical medicine care providers
The MHP Auto Medical Network easily integrates with bill review services and other medical cost containment programs and may be used on a regional or national basis.
Claim Negotiation Services
MHP negotiations incorporate aspects of our medical bill audit program resulting in meaningful savings below fee schedule and UCR amounts. Provider sign-off is procured within a 3-5 day timeframe.
Medical Bill Audit Services
MHP uses highly defensible proprietary and public benchmark criteria to ensure appropriate reimbursement. MHP audits deliver significant reductions below fee schedule and UCR amounts. The audit identifies billing errors, atypical charges, duplicate charges, unbundled services, and charges that exceed reasonable & customary pricing in a given market.
Request More Information
Workers' Compensation Clients
Provider Network Services
The MediNcrease Health Plans (MHP) Workers’ Compensation Network includes over 220,000 participating providers throughout the US specifically contracted for Workers’ Compensation insurance. MHP Work Comp providers deliver quality care at significant discounts below state fee schedule and usual & customary reductions.
The MHP Workers’ Compensation Network includes an abundance of provider specialties and facilities frequently utilized for work-related injuries, such as:
- Primary care
- Imaging
- Physical therapy
- Occupational medicine
- Diagnostic
- Urgent care
- Rehabilitation
- DME
- Home health
- Orthopedic
- Other physical medicine care providers
The MHP Workers’ Compensation Network easily integrates with bill review services and other cost containment programs and may be used on a regional or national basis.
Claim Negotiation Services
MHP negotiations incorporate aspects of our medical bill audit program resulting in meaningful savings below fee schedule and UCR amounts. Provider sign-off is procured within a 3-5 day timeframe.
Medical Bill Audit Services
MHP uses highly defensible proprietary and public benchmark criteria to ensure appropriate reimbursement. MHP audits deliver significant reductions below fee schedule and UCR amounts.
The audit identifies:
- Billing errors
- Atypical charges
- Duplicate charges
- Unbundled services
- Charges that exceed reasonable & customary pricing in a given market
Request More Information
Providers
Client Services
(855) 369-3923
Corporate Office:
9711 Washingtonian Blvd.,
Suite 300
Gaithersburg, MD 20878
Florida Office:
150 – 153 rd Avenue,
Suite 303
St. Petersburg, FL 33708