Out-of-network balance medical billing issues can be a challenge for everyone.
We know how to help.
WHO WE HELP
Over half of all Americans have been surprised by an out-of-network balance bill
We help resolve members’ excessive out-of-network balance medical bills by negotiating directly with providers. Our extensive industry and provider network knowledge, combined with market data, brings clarity to out-of-network balance billing costs – when it’s needed most.
to provide smart guidance to help them make informed decisions through the health care journey, so they can focus on their life.
to help reduce employees’ out-of-network health care expenses and to relieve employers administrative burden so they can focus on their business.
to help quickly resolve out-of-network balance medical bills, focusing on expedited claim reprocessing and resolution.
REAL RESULTS
Track record of success
Our services have helped tens of thousands of UnitedHealthcare members successfully resolve balance medical bills associated with out-of-network health care costs.
7.3M+
Members with Naviguard benefits
$650M+
Member savings to date1
12,500+
Providers engaged across 160+ specialties
800K+
Cases resolved2
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1Savings measured by taking the difference between the aggregate out-of-network original billed amount and the aggregate final allowed amount under the plan during January 2022 – August 2024 for cases where Naviguard was engaged by a member to negotiate a balance bill on the member’s behalf. Includes disputed claims but excludes denied claims.
2Naviguard data January 2021 – August 2024. Resolved cases include all instances in which a member contacted Naviguard and the case was reviewed and negotiated or closed.
OUR GOAL
To help employers and plan members avoid paying too much for out-of-network health care
We tailor a unique approach to supporting members and plan sponsors while engaging providers to ensure resolution. We know the issues surrounding out-of-network balance billing and make the process less confusing for everyone.
We’ve successfully resolved tens of thousands of out-of-network cases, which positions us to help members successfully navigate even the most difficult balance medical billing challenges.
We serve as advocates and empower both members and employers when they face challenges in managing out-of-network costs. Our expert guidance helps make informed decisions throughout the health care journey.
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1
Everyone benefits from expert guidance managing the complex world of out-of-network health care costs
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2
No one should ever be forced to pay charges that are proven to be excessive
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3
Knowledge and transparency will always lead us in the right direction
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4
Members should never avoid seeking health care because of out-of-network costs
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Employers should be empowered to take care of employees while being mindful of health care costs
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Providers deserve appropriate compensation and the clarity necessary to support it
CONTACT US
Have a question for Naviguard or simply want to learn more about our out-of-network balance medical bill services? Don’t hesitate to reach out.