Healthwestonline.com

Customer Service

WebIf you need help with a claim or claim pricing please call (888) 316-1933. You can fax a request to (888) 316-8572. If you need help with eligibility, payment status, benefits, …

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URL: https://www.healthwestonline.com/customer-service.html

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WebWe have been saving employers money through our custom healthcare solutions since 2009. With the ever increasing costs of health care premiums and sky rocketing Hospital …

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Claim Negotiation and Claim Audits

Webclaim audits, claim data audits, claim negotiation. Pre-payment claim review and audit is the ideal solution for catching problem claims up front like ESRD’s, Kidney transplants, ALS, …

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CUSTOME SOLUTIONS

WebAll provider networks are not created equal and they do not constantly improve upon their discounts. On average a tiered network can save a plan 14% or more. We direct your …

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Tribal Solutions

WebThird Party funds can be added to CHS funds and Medicare Like Rates still apply. Tribes who have an IHCS 638 contract and a CHS program are also eligible. CONTACT US: …

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No Surprises Act

WebOn Dec. 27, 2020, Congress passed, and President Trump signed, the No Surprises Act as part of the Appropriations bill. The No Surprises Act, which is a law not guidance, goes …

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Machine Readable

Web1. Network negotiated rates for all items and services. 2. Historical payments to, and billed charges from, out-of-network providers. Machine Readable Files contain information …

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REFERENCE PRICING

WebWhat is reference-based pricing? Rather than relying on the hospital or facility’s over-inflated charge-master price and having a small discount,, Reference and Reasonable Pricing …

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