Medata Specialty Review (MSR) performs direct negotiations in cases where fee schedules or PPO network discounts do not apply. Our team of negotiators, analysts, and specialists are experts in the fields of jurisdictional fee schedules, healthcare payment policies, and prevailing billing practices.

MSR is integrated into your bill review workflow or, alternatively, can be used as a stand-alone product.

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Services

Access bills through our web-based portal:

  • Out-of-Network Negotiation with Provider Sign-Off
  • Complex Surgical & Hospital Bill Review
  • Physician Review Analysis
  • Pre-Payment Negotiation

Fair and Reasonable

Medata utilizes Tally, our proprietary reasonableness database, along with other relevant healthcare and financial sources, as data sets to arrive at a fair reimbursement rate mutually agreed upon with the medical provider.

Medical Advisory Panel

Our Medical Advisory Panel includes physicians with specialties in the fields of Orthopedics, Neurology, General Surgery, Internal Medicine, Anesthesiology, Chiropractic, and Physical Therapy, as well as a registered nurse with extensive experience in bill audits.

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