This service focuses on claims when hospital charges appear excessive. The issue isn’t whether the patient received the services billed, but if the charges are excessive & unreasonable.
When this occurs, we recommend conducting a bill review and price comparison analysis.
EPI’s experienced medical bill review staff performs an in-depth analysis of specific charges that are compared to other hospitals. A position paper is then prepared which outlines our findings and recommendations.
This service applies to out-of-network or in-network claims although most claims received relate to in-network or PPO bills.
Our fee is based on a sliding scale of net savings realized. If there is no savings there is no charge.