Out of Network Negotiation Services

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Out of Network Negotiation Services

Navigating out-of-network claims can be a complicated and challenging process for any healthcare facility, particularly hospitals and free-standing emergency rooms. At Family Works MBS, we understand the importance of negotiating settlements for out-of-network claims and appeals to maximize reimbursements for our clients. Our negotiation settlement team has decades of experience in medical billing and coding, as well as revenue cycle management, specializing in hospitals and free-standing emergency rooms.

By enlisting our team to take care of your out-of-network negotiation settlements and underpaid appeals, you can rest assured that you are in good hands. Insurance companies often hide behind negotiating vendors to minimize reimbursement based on benefits limitations, making the process even more complicated. Our team knows how to navigate these challenges and fight for the maximum reimbursement possible. With our expertise, you can focus on providing high-quality care to your patients while we work to maximize your reimbursements and revenue stream.

At Family Works MBS, we are dedicated to helping our clients succeed in the ever-changing healthcare industry. Our team is committed to providing exceptional service and support to help our clients navigate the complex world of medical billing and revenue cycle management. By partnering with us, you can take advantage of our extensive experience and knowledge to improve your financial growth and patient care. Let us help you navigate the challenging world of out-of-network claims and appeals and maximize your reimbursements.

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Our Medical Billing Negotiation Service Approach

Navigating the complex world of out-of-network billing can be a challenging task for healthcare providers. At Family Works MBS, we have decades of expertise in medical billing, coding, and revenue cycle management, particularly for hospitals and free-standing emergency rooms. Our negotiation settlement team is well-versed in the nuances of the negotiating process and has a comprehensive OON database that allows us to negotiate the best rates for our clients.


We understand the tricks and terminology used by insurance companies and negotiation vendors, including Multiplan, Viant, and Zelis, and use our expertise to negotiate on your behalf. Our team analyzes historical data based on your locality and negotiates each claim to protect your patients from a massive out-of-pocket expense.


Having been in the industry for more than 10 years, we have developed our OON database, which we use to identify underpaid claims. We know that insurance companies utilize employer preferences and limitations to determine reimbursements, but our negotiation settlement team knows how to identify limited benefit policies and employer preferences to negotiate bills on maximum re-pricing.

We offer pre-payment and post-payment negotiation settlement services. For pre-payment, we analyze settlement offers received from negotiation vendors on behalf of insurance companies prior to claim reimbursement. For post-payment, we ensure that claims are reimbursed by the insurance company based on our pricing provided by the negotiation/pricing vendor, and then the claim is re-opened for negotiation.


At Family Works MBS, we advise our clients to use quality control procedures, structured billing processes, and appropriate out-of-network negotiation services to ensure error-free billing and maximum payments. Our team is dedicated to helping our clients navigate the complexities of out-of-network billing and ensuring that they receive the reimbursements they deserve.