Founded as a high cost out of network claims solution company, we still achieve top savings by negotiating one claim at a time.

Direct Negotiation

Principals, administration and management directly negotiate all of your high dollar claims. While other companies fax offers, use computer aggregating or other cookie cutter solutions, we believe the top dollar savings come from personal direct negotiation with providers. Signoff assures that the negotiated discount will be honored.

Transplant Services

We know transplant reimbursement. Let us maximize your transplant savings while reducing the time spent administrating these complex cases. Case rates are just one factor in the overall transplant management process. Stop loss, floors, outliers and other language provisions can effectively turn your case rate into a discount from charges or no savings at all. By making multiple transplant networks available to you, PRN can provide you with top savings and streamlined transplant services.

Wrap Networks

Wrap networks and “silent PPO’s” have been in the news and discarded wholesale by some. While we negotiate most out of network claims we service, judicious use of selected PPO networks is still an appropriate option for some claims. By monitoring each claim and hand selecting the option, we generally have a lower claim failure rate than many of the networks do themselves.

Audits

Bill reviews, desk audits and full claim audits can be a very effective tool for many high dollar claims. We know when to recommend audits and their best use to achieve top-dollar savings.