HPA Process
With our extensive backgrounds in health insurance, medical billing, and negotiations we will review the medical bill and related insurance considerations to ensure that the “patient portion” is accurate and appropriate.
suitable to the member’s financial situation. In some cases, this may result in a discount to the balance for an expedited payment, or in a payment plan to be established the provider and member. Payment plans are generally no-interest, but occasionally will include a small interest amount.
- Review of the original claim as submitted to the health plan, the health plan’s explanation of benefits (EOB), and the bill send to the member
- A review of the bill and, based on the financial situation, the member’s ability to pay
- Any necessary communication to verify and discuss these findings with the provider and member
- A proposal submitted directly to the medical provider requesting a reduction in the amount currently being billed and/or establishing a payment plan over a fixed period of time
- Notification to the plan member (by phone, email, fax, or snail mail as requested) communicating the result of the proposal submitted to the provider

