Driving Integrity & Transparency to
Healthcare Reimbursement

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Guaranteed Savings
Transfer Risk
Eliminate Financial Liability

Our
Methodology

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. 

Experience the
WellRithms Shield

TM

WellRithns is 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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LEARN MORE ABOUT OUR
GROUP HEALTH SERVICES

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.

CLICK HERE TO LEARN MORE

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Shield
Indemnification

Shield Indemnification protects the plan & member from the adverse impact of balance billing practices. Provider threats are ineffective & unenforceable.

CLICK HERE TO LEARN MORE

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Network
Replacement

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

CLICK HERE TO LEARN MORE

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Pre PPO
Physician Review

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

CLICK HERE TO LEARN MORE

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BOLD   |   SMART   |   PROGRESS   |   HUMAN   |   EXPERIENCED

LEARN MORE ABOUT OUR
WORKERS COMP SERVICES

Repricing
UCR Bills

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

CLICK HERE TO LEARN MORE

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Shield
Indemnification

Shield Indemnification protects the plan & member from the adverse impact of balance billing practices. Provider threats are ineffective & unenforceable.

CLICK HERE TO LEARN MORE

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Stop Loss
Outlier Bills

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

CLICK HERE TO LEARN MORE

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Pre PPO
Physician Review

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

CLICK HERE TO LEARN MORE

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WHAT PEOPLE ARE SAYING

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

~Anna Quarum, COO