BMI – Benefit Management Inc

BMI Reaches New High

BMI reaches new high in claim negotiations in 2016; 67 Percent Savings.

BMI uses multiple wraparound PPOs when our members receive care from out-of-network providers. We also audit the billing and coding of PPO claims to eliminate payments of invalid charges. The average discount received from wraparound PPOs like Multiplan, Coalition America, Firsthealth, OneCare, Preferred Community Choice, NPPN etc was 29% in 2016.

For the claims that BMI’s Nurse Reviewers audited or negotiated in 2016, the average discount was 67 PERCENT. It appears that two things account for this increase. 1) Providers are getting more creative and less accurate with their billing and 2) BMI is getting better and better at eliminating claims expenses for our clients.

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