Negotiation

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Quest Medical Claims prides itself on having the best record in the business for skillful claim negotiation!

Our clients have identified that on average that 15% to 25% of their claim dollars fall outside of their managed care networks. A Third Party Administrator is charged with the responsibility to maintain and improve their self funded clients expected loss ratio for their insured’s and Quest helps make that possible!

Quest measures its success on its ability to make a positive impact and assist our clients on each and every claim that comes to us for discounting.

Skillful claim negotiations in 2006 for Quest clients averaged 20%-25% off allowable billed charges on eighty-five percent of the claims sent to Quest. This above average percentage was a blend between providers, facilities, ancillary providers, durable medical equipment (DME), infusion service, treatment centers, laboratory claims, ambulance etc.

Claims are returned with results within the time frame specified by your requirements once our services are implemented.