Out-of-Network Repricing Services

CAI offers a unique four-tiered approach to discounting out-of-network claims. Clients can choose all or select services to meet their needs

Wrap PPO Savings

• Access to key providers nationwide
• Requires logos on ID cards
• Increased savings through deeper discounts

Supplemental PPO Savings

• Access to multiple PPOs in every state (typically 5-15)
• Enhanced savings by ranking PPOs based on historical savings in each state
• Contracts with PPOs allow CAI to access discounts without patient steerage
• Instant access to discounts through RepriceNow (Internet) solutions
• 24 hour turnaround when repricing EDI claims
• No logos or patient steerage necessary
• No balance billing

Continuous Discount Agreement (CDA) Savings

• Pre-established discounts with over 35,000 providers
• Immediate repricing results
• New CDAs added weekly

Provider Negotiations

• Additional claims discounted through direct negotiations on ALL size bills
• Deeper discounts by grouping specific provider bills for leverage
• Client specific turnaround time to meet your needs
• Access to thorough claims review and evaluation

RESULT: Greater overall savings through deeper discounts on more medical bills.