Driving Integrity & Transparency to
Healthcare Reimbursement

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Ask About the WellRithms Savings Guarantee

WellRithms guarantees you will pay for what is fair and accurate.

We are backed by a captive insurance company that allows for the transfer of all legal and financial liability from the payer to WellRithms; thereby, guaranteeing the recommended payment amount.  Shield Indemnification protects the plan and the member from the adverse impact of balance billing practices.  Provider balance billing and collection threats are ineffective and unenforceable.

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Stop overpaying for healthcare.

WellRithms repricing is not an arbitrary percentage of Medicare or other benchmarks.  Rather, our methodology is based on the common law principal of quantum meruit: as much as deserved.  WellRithms determines a fair and reasonable reimbursement rate by analyzing what the provider generally accepts from all payer sources including commercial, federal, and private payers. 

Audit

Harmony™ & Melody™ Classification, Edits, & Audits systems reliably catches errors and overcharges at the line level. 

Reprice

Harmony™ & Melody reprice bills line-by-line ensuring fair and accruing reimbursement, backed by case law.

Guarantee

Through Shield Indemnification™ provider threats for additional payment are unenforceable.

"We believe that claim care is as important as patient care."

~Anna Quarum, COO

LEARN MORE ABOUT OUR
GROUP HEALTH SOLUTION

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Out-of-Network Repricing

Significant date is utilized to determine a fair price that is fully defensible and guaranteed.  Repricing is consistent with the No Surprises Act guidelines.

Network Replacement

For clients looking for an alternative to traditional PPO networks, WellRithms offers a full solution, in partnership with MedWatch.

Pre PPO Physician Review

This review compliments network reductions by further driving down the allowed amount before the PPO application.

 

BOLD   |   SMART   |   PROGRESS   |   HUMAN   |   EXPERIENCED

 
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LEARN MORE ABOUT OUR
WORKERS COMP SOLUTION

Repricing UCR Bills

Maximize savings on bills that are not subject to a state fee schedule

Stop Loss Outlier Bills

States that mandate that bills at a certain thresholds be reimbursed at a percentage of billed charges.

Pre PPO Physician Review

This review compliments network reductions by further driving down the allowed amount before the PPO application.

WHAT PEOPLE ARE SAYING

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