
Negotiation Services
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PNA has developed a solution to the problem of out-of-network provider claims.
Preferred Network Access, Inc. (PNA) negotiates claims nationwide. Our negotiators will review each claim prior to any negotiation and determine the viability of discounting the claim. Once the negotiator has reviewed the claim, they will use PNA's proprietary database to achieve the best possible discount. Negotiation parameters are customized for each client.
Negotiation of Non-Network Hospital, Outpatient Surgical, Physician, DME, and Prescription Claims
2007 1,565 Claims Negotiated $8,498,000 Billed Charges 34% Savings Suggested Criteria: All Prospective Non-Network Inpatient and Outpatient Admissions Hospital Claims $500 and over Physician Claims $500 and over Ancillary Provider Claims $500 and over DME Provider Claims $500 and over Prescription Drug Provider Claims $500 and over Procedure PNA will verify with Payor:
Negotiations are usually completed within three business days. Provider contractually agrees in writing to the negotiated discount. Repricing Cover Sheet and claim are faxed or sent electronically to Payor.
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