Services › Cost Containment
Through our Preferred Provider Organization network, SCW has access to over 5,500 acute care hospitals and over 500,000 physicians in the United States. Our cost containment department has the knowledge and expertise needed to secure the best discounts available.
For out of network claims SCW reviews invoices, resolves disputes, bargains on your behalf and attempts to craft outcomes to your advantage. SCW negotiates with out of network service providers to ensure accuracy and compliance.
We saved over 40% during the last two years, and our fast turnaround for all invoices means that 90% are re-priced within 24 hours. The remaining are re-priced the following business day. We utilize electronic data interface capability for hourly re-pricing of invoices and use software that compares historical prices, customary charges and reasonable rates.
With our cost containment services you receive:
- Real-time re-pricing reports using a proprietary risk management system
- Repriced invoices through our preferred provider organization network
- Detailed invoice and file audits on large hospital bills
- Recoveries from subrogation, using an experienced legal team
- Recoveries from Government-sponsored health care system