Maximize Revenue Recovery with Our Experienced Team

Negotiating out-of-network (OON) claims can be a complex and time-consuming process for hospitals and free-standing emergency rooms. Here at Max Care Billing, we understand the challenges you face. Our team of seasoned medical billing negotiators possesses decades of experience in:

• Medical Billing & Coding
• Revenue Cycle Management (RCM)
• Out-of-Network Negotiations

We take the burden off your shoulders, ensuring you receive the highest possible reimbursements on underpaid claims.

Why Choose Max Care Billing?

• Recovery Expertise: Our team is well-versed in negotiating with insurance companies and negotiation vendors like Multiplan, Viant, and Zelis. We understand their tactics and know how to secure the best rates for your facility.
• Out-of-Network Specialists: OON billing is our specialty. We have a proven track record of success in maximizing reimbursements for our clients.
• Data-Driven Approach: We leverage historical data and our proprietary OON database to identify underpaid claims and build strong negotiation arguments based on your locality.
• Patient-Centric Advocacy: We protect your patients from exorbitant out-of-pocket expenses. We negotiate aggressively to ensure fair reimbursement while considering benefit limitations.
• Pre-Payment & Post-Payment Expertise: We handle negotiations throughout the entire billing cycle, whether pre-payment offers from insurance vendors or post-payment re-openings.
• Identifying Underpaid Claims: Our negotiation team uses their expertise to identify limited benefit policies and employer restrictions, maximizing your re-pricing opportunities.

The Max Care Billing Difference:

• Prevents Underpayments: We utilize proven strategies and in-depth knowledge to minimize claim denials and underpayments.
• Streamlined Process: We handle all communication and negotiation with insurance companies and vendors on your behalf.
• Increased Revenue Recovery: Our expertise translates to maximized reimbursements and improved cash flow.

Let Max Care Billing navigate the complexities of OON negotiations. Contact us today and experience the difference