WellRithms Pre-payment claims review solutions are powered by Harmony. Etc etc
Out-of-Network Review & Repricing
One short sentence about this solution
In-Network Itemized Bill Review
One short sentence about this solution
In-Network Itemized Bill Review
One short sentence about OON
Driving Integrity & Transparency to
Healthcare Reimbursement
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.
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
Significant date is utilized to determine a fair price that is fully defensible and guaranteed. Repricing is consistent with the No Surprises Act guidelines.
For clients looking for an alternative to traditional PPO networks, WellRithms offers a full solution, in partnership with MedWatch.
This review compliments network reductions by further driving down the allowed amount before the PPO application.
BOLD | SMART | PROGRESS | HUMAN | EXPERIENCED
LEARN MORE ABOUT OUR
WORKERS COMP SOLUTION
Maximize savings on bills that are not subject to a state fee schedule
States that mandate that bills at a certain thresholds be reimbursed at a percentage of billed charges.
This review compliments network reductions by further driving down the allowed amount before the PPO application.
WHAT PEOPLE ARE SAYING
NAME, TITLE
Share the amazing things customers are saying about your business. Double click, or click Edit Text to make it yours.
NAME, TITLE
Share the amazing things customers are saying about your business. Double click, or click Edit Text to make it yours.
NAME, TITLE
Share the amazing things customers are saying about your business. Double click, or click Edit Text to make it yours.