Equian can enhance your existing network and pricing payment integrity strategy with our end-to-end Network & Pricing Optimization solutions:
State- & Region-Specific Networks
Carve-Out / Specialty Networks
Our integrated platform eases administrative burden by eliminating the need for multiple Electronic Data Interfaces (EDIs), claim format integrations, and changing workflow processes to cover all of your network and pricing needs.
Our negotiation services begin with a unique situational analysis to determine the best course of action within 24 hours.
Negotiation services are optimal for:
Unpaid or Dated Claims
Reference-based pricing using Medicare as the basis for reimbursement continually becomes the preferred solution among many payers.
Reference-based pricing is optimal for:
Narrow Network Complement – Enables Strong Primary Network Purchase and Competitive Rates Outside PPO
Change in Out-of-Network Reimbursement – Focused on Better Value in a Medicare-Based Approach with Optional Use of Supplemental Networks and Negotiation