Specialized
Recovery &

Negotiations

Expert cost containment audits, contract review, and bill negotiation services for payers and providers. Our team brings decades of combined experience in claims, cost containment, and clinical expertise to identify overpayments, recover dollars, and optimize managed care programs.

THE BENEFITS

(Select Payers or Providers to explore the benefits.)

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Program & File Audits

Independent audits of bill review practices, DME spend, hospital billing, and overall managed care program performance. Identify where money is leaking and quantify recoverable overpayments.

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Bill Review Integrity Checks

Uncover reliance on implied savings from UCR instead of transparent fee-schedule-based savings. Identify improper PPO discounts, “TIN flips” and other billing distortions.

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Contract Review & Optimization

Review MCO and TPA contracts, compare actual billing vs. contracted terms, and recommend concrete changes. 

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High-Dollar Bill Negotiation

Negotiate complex medical bills including hospital charges, air ambulance, and other high-cost outliers. Achieve significant reductions through strategic engagement.

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Audit Recovery

After identifying issues, quantify over-charges and help clients recover those dollars. We only get paid when you do.

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Uncollectible Claims Recovery

Focused exclusively on difficult, denied, or underpaid bills that standard billing and collections processes couldn’t resolve. We step in when other options have been exhausted.

Expert Escalation Path

Leverage deep knowledge of payer practices, bill review systems, and managed care contracts to negotiate fair payment on stalled or disputed claims.

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Provider Network Services

Working with national prosthetic and orthotic networks to recover payment on challenging claims before they’re written off.

HOW WE WORK

A straightforward, results-driven process

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Assessment

Preliminary audit or case review—typically 3-5 days for a sample set of files or claims data.

Findings & Strategy

Clear explanation of where money is leaking, why it's happening, and how to fix it with specific recommendations.

Execution & Recovery

Negotiate bills, renegotiate contract terms, and support implementation of new workflows to capture savings.

WHY CHOOSE US

Why SRN

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Unique Combination
of Expertise

Licensed adjusters, cost containment directors, and a board-certified prosthetist with 100+ years of combined WC experience.

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Independent & 

Vendor-Agnostic

Not tied to a single MCO or TPA’s products. We provide unbiased analysis and recommendations focused solely on your best
interests.
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Trusted by 

Industry Leaders

Working with state entities on program audits, national MCOs on hospital bill negotiations, and major prosthetic networks for uncollectible claim
recovery.

Ready to Recover
What You're Owed?

Whether you need a preliminary audit, help with a problem bill, or support on uncollectible provider claims, SRN can show you exactly where the money is going and how to get some of it back.