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
2010 Total Savings
1,856 Claims - $11,186,839 Billed Charges - 49% Savings
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
Criteria can be customized by client
PNA will verify with Payor:
Negotiations are usually completed within five business days.
Provider contractually agrees in writing to the negotiated discount.
Repricing Cover Sheet and claim are faxed or sent electronically to Payor.