TPA: Out-of-Network Claims Processing

How can you be sure that you are saving every dollar possible on out-of-network claims? Approximately 15% of all claims are out-of-network. Major dollars are left on the table when these claims are ineffectively re-priced.

“Fact, business as usual will only take you so far in today’s fast paced world.”

Re-pricing and discounting out-of-network claims is a niche business. While many companies and individuals suggest they can discount out-of-network claims, the reality is experts deliver much deeper discounts.

Here’s how UCS can deliver deeper discounts and savings to your clients. Exclusive personalized UCS programs provide:

• A large selection of both national and regional networks.
• UCS’s ability to track provider and patient history insuring you receive the deepest and safest discount possible.
• Direct network access without downloads.
• All claims accepted…no dollar thresholds.
• Turnaround time for network claims in 1 business day and negotiated claims within 3 business days.
• The industry’s highest discounts and capture rates guaranteed.
• The industry’s lowest dispute rate…less than 1% with 50% upheld.
• Monthly and year end recap savings reports broken down by group.

UCS’s commitment to you is simple. We do all your out-of-network claims discounting through our full service resource center in Phoenix, Arizona and you receive the credit for providing your clients’ superior savings.

< Go back to main TPA page

Go to Full Service Primary Network Claim Processing >

Go to Partial Primary Claims Processing >