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GUIDANCE FOR PROVIDERS

The expert in out-of-network billing resolution.

Don’t let out-of-network billing conflicts keep you from getting paid quickly.

Two bubble images. Medical professionals looking at clipboard.

Expertise that brings results.

Don’t let out-of-network billing conflicts linger. By engaging with Naviguard on out-of-network bills, you can more quickly reach resolution and get clarity on OON bills, avoid arbitration, and expedite payments.

Quick, balanced payment resolution

Our objectively derived and market-based pricing model manages costs and mitigates risk. Not only does this help avoid arbitration, it also speeds up billing resolution, along with your payment. Because you deserve to be paid for the care you provide.

Reduced time stuck in accounts receivable

Providers deserve appropriate compensation for the services they provide, and the clarity necessary to support it.

By engaging with Naviguard, you can reach resolution faster, allowing you to be compensated quickly and appropriately for your services.

Industry expertise you can trust

Naviguard takes a market-based, reasonable, and data-driven approach to resolving out-of-network billing issues. As we work on behalf of the plan and the patient, we do so with compassion for all parties, a commitment to avoiding arbitration, and an interest in getting you paid quickly and appropriately.

Real Results

The proof is in the numbers.

By engaging with Naviguard, thousands of health care providers like you have resolved their out-of-network billing disputes and received payment. Quickly.  

57K+

Cases resolved1

25 days

Average turnaround time for case resolution

3,500+

Providers engaged across 170+ specialties

1Naviguard data January 2021 – April 2022. Resolved cases include all instances in which a member contacted Naviguard and the case was reviewed and negotiated or closed.

NO SURPRISES ACT

Here’s what you need to know.

Upcoming Changes

On January 1, 2022, the No Surprises Act (NSA) went into effect for health plan years commencing on or after that date. This has made a large impact on health care providers and facilities, including administrative process changes and additional requirements to follow.

For health care providers, the No Surprises Act provides a clear process for resolving out-of-network payment disputes. When the provider and the health plan can’t come to an agreement, a neutral third party will determine the payment for a service.

Engaging with Naviguard can help resolve bills efficiently.

Naviguard works with health care providers on behalf of plans and patients to resolve out-of-network billing claims quickly and efficiently. Our deep industry knowledge means we understand the ins and outs of this new legislation from the point of view of providers, patients, employers, and insurers.

We believe in working cooperatively with providers to resolve out-of-network billing issues. Our expertise can help providers achieve successful negotiations and avoid the hassle, cost, and time of the independent dispute resolution process.

Contact Us

We’re here for you.

Have a question for Naviguard or want to learn more about our out-of-network medical bill services?

LET’S CONNECT