Q. Who is CAI/NPPN?
A. Coalition America, Inc. (CAI/NPPN) is a healthcare savings company
retained by payors to perform administrative services with medical claims.
CAI/NPPN coordinates claim processing on out-of-network claims through
direct provider contracting, negotiations, fee schedule application or other
CAI/NPPN has over 300 clients representing more than 12,000 businesses
nationwide, including self-insured employers, insurance companies, third party
administrators, HMOs and reinsurers. CAI/NPPN may be contacting you to
negotiate on a bill on behalf of our clients.
should I work with CAI/NPPN?
is the patient's responsibility?
will the total check amount be for a negotiated claim?
is the turnaround time for payment on negotiated claims?
Q. I do
not recognize the PPO name listed on the EOB, who
Q. I have
a question about a discount taken, who should I contact?
am I participating with CAI/NPPN?
do I become part of CAI/NPPN's network?
Status Inquiries (must be made with the payor, not with CAI/NPPN)
do I check the status of a claim or payment?
do I call for patient eligibility, benefits, pre-certification,
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