Our non-network claims management program offers a flexible, effective solution for controlling clients’ out-of-network plan costs, maximizing savings across both network and non-network claims.

Non-network claims management includes:

• Pricing of all First Health Network claims to capture network savings
• Negotiation of favorable rates for non-network hospital, professional and ancillary services to achieve additional savings
• Claims data analysis and identification of opportunities for providing additional network access for clients

Clients achieve the most significant savings when they combine non-network claims management with the First Health Network.