Many payors have contract terms that dictate payments being the "lesser of" charges or the negotiated rates.
These terms could result in hospitals being paid less than their negotiated rates.
We can assess how much "lesser of" terms are costing you and also capture the additional payments available to you.
Below are the annual amounts of additional insurance payments Sophical Solutions is generating for four hospitals that were being affected by "lesser of" provisions:
- 1,161 Bed Hospital: $1,492,711
- 1,009 Bed Hospital: $1,027,097
- 701 Bed Hospital: $1,073,983
- 25 Bed Hospital: $328,923
