June 27, 2023 – MultiPlan Corporation… announced the appointment of John Prince to its Board of Directors, effective June 26, 2023. Prince has more than 25 years of executive leadership experience in healthcare services and technology… bringing a valuable depth of expertise to MultiPlan’s board… His appointment coincides with the next phase of the company’s growth strategy.
To tackle the problem of out-of-network charges, Claritev developed our Data iSight pricing methodology. Unlike Usual and Customary (U&C) or Medicare-based repricing solutions, our methodology recommends reductions using both a cost-up approach (for facility claims) and median reimbursement levels (for practitioner claims) to achieve maximum defensibility, wide provider acceptance, and savings of 61%-81% off billed charges.
MultiPlan enhances its claim pricing services by adding payment processing of healthcare provider claims as well as payments made to other service providers. MultiPlan now has the ability to extend payment processing services to payors that price their own claims. ECHO extends its service portfolio to include out-of-network cost management and decision science services.
MultiPlan announces that it has been named one of the 2023 Fortune Best Workplaces in New York™ based on its 2022-2023 Great Place to Work® Certification™ results. New York has been MultiPlan’s headquarters since the company’s founding in 1980. The prestigious award is based entirely on what current employees say about their experience working at MultiPlan.
Several companies offer solutions to help eliminate or reduce incorrectly paid claims and save healthcare payors significant dollars. So how do health plans choose which one to work with? The truth is many of the solutions are similar, and they’ll probably all save payors money. Answers to these questions help separate the players.
Coordination of Benefits (COB) review for healthcare payors involves more investigation than simply validating primacy for other coverage. A significant amount of detective work is needed to drive valid and actionable COB recoveries, especially when patients are newborns.
MultiPlan is honored its Dynamic Negotiation Offer solution has been awarded as the “Best Healthcare InsurTech Solution Provider” in the 7th annual MedTech Breakthrough Awards. The solution has advanced capabilities that utilize intelligent claims automation for a specified subset.
A little more than a year after launching the No Surprises Act’s Independent Dispute Resolution Portal, the Departments of Health and Human Services (HHS), Labor, and Treasury gave an update on the federal IDR process for the period from April 15, 2022 through March 31, 2023. Claritev highlights the findings.
Claritev's PHCS Network is the largest independent, nationwide primary preferred provider organization (PPO). It is the preferred choice for health plans wanting a provider network with flexibility to meet their unique needs. Plans get administrative ease without sacrificing provider access, savings, and quality for health plan members.
(NYSE:MPLN) MultiPlan reports financial results for the first quarter ending March 31, 2023.