Overview

Coalition America has a comprehensive suite of products and services to meet the
needs of our payor and employer group clients. Through internally developed
capabilities or by partnering with others in the business, we offer the optimum
solution for healthcare cost containment.

Our solutions include:

Supplemental PPO Access

Coalition America, Inc. (CAI/NPPN) uses proprietary technology to deliver
significant discounts on healthcare billings. CAI/NPPN directly services over
400 clients, representing more than 12,000 plan sponsors nationwide. read more

Negotiation Services

Coalition America, Inc. (CAI/NPPN) has been very successful in reducing medical
costs for medical claim payors. As a result, CAI/NPPN has established a
reputation as a leader in medical claim savings, impacting both high and low dollar
claims, especially out-of-network claims. read more

Established Reimbursement Schedule

The Established Reimbursement Schedule™ (ERS™) is a patent-pending,
proprietary cost containment product developed by Coalition America. ERS™
contains a fee schedule that applies to physician, outpatient, and inpatient
medical claims. read more

National Dental Cost Containment Program

CAI/NPPN has developed the industry's only national program that allows access
to savings on indemnity and out-of-network dental claims. read more

Consumer Negotiation Services

CAI/NPPN offers a personalized medical cost containment service for consumers
who do not have medical insurance or those owing medical expenses that are not
covered by their health insurance. read more

Enhanced Clinical and Coding Edit Services

Bloodhound, Inc. provides claims editing and business analytical services to all
participants in the claims revenue cycle. Its services, technologies and products
combine to offer any payor the most comprehensive solution to preventing
overpayment or mis-coding of claims. read more

Transplant Savings Program

CAI/NPPN offers significant savings on transplant services through its relationship
with national transplant networks. Clients are eligible for average savings of 30-50%
on transplant services, including pre- and post-transplant care. read more