Hopewell Risk Strategy is a cost containment company specializing in group health medical claim review. For two decades we have provided high-quality customized bill review of workers’ compensation and group health claims for self-insured private and public entities throughout all fifty States.
Since our founding in 1994, we have made it our priority to listen to our clients and tailor our services to their special requirements. Our reviews are defensible and supported by major preferred provider organizations.
Your plan administrator has a PPO arrangement in place to provide discounts for provider services. That’s great. However a discount applied to something that doesn’t belong on the bill in the first place isn’t great and isn’t a discount. So far, in 2015 our in-network claim reviews have averaged 19.65% in savings above any existing contracted discount. Just because it is billed doesn’t mean it should always be paid. You have the right to determine your plan’s liability on all claims.