Guidance for Employers Out-of-Network Billing Negotiation
Let Naviguard handle all the responsibilities of out-of-network billing resolution.
You need an expert resource with a proven reputation for successful medical and hospital bill negotiation who can ease the responsibilities and frustrations of managing your employees’ out-of-network health issues.
We put decades of health care experience to work for you. And it shows.
Savings for our employer clients to date
Cases resolved1
Average savings off billed charges2
Negotiation success rate3
1Naviguard data January 2021 – October 2022. Resolved cases include all instances in which a member contacted Naviguard and the case was reviewed and negotiated or closed.
2Naviguard data January 2021 – October 2022. Discount on all out-of-network paid claims (includes disputed claims and all other paid claims. Excludes denied claims.) Savings results shown may vary based on customer plan and geographic distribution and are not a guarantee of future results.
3Based on Naviguard’s engagement with its members during January 2021 through October 2022. Negotiation success rate is based on claims negotiated to less than billed charges. Negotiation success rate may vary and is not a guarantee of future results.
Use these helpful resources when helping your employees with their out-of-network billing questions and issues.
Deductible, copay, and coinsurance are common terms in health care – but what do they really mean? And how do they affect you?
Learn MoreOn January 1, 2022, the No Surprises Act (NSA) went into effect, prohibiting medical balance bills for many — but not all — out-of-network services. However, there are still situations when patients are not covered by the NSA – and that’s where Naviguard comes in.
Learn MoreOut-of-network means that no contract exists between the provider and insurance company. In many cases, out-of-network providers charge prices significantly higher than market rates.
Learn MoreHave a question for Naviguard or want to learn more about our out-of-network medical bill services?