Strategic Bill Review

Medical bill review is at the heart of reducing the cost of claims. SISCO offers a strategic bill review process that focuses on the amount you are asked to pay, not the discount.

SISCO’s Approach:

Audits & Negotiations: SISCO identifies errors and excessive charges by auditing 100% of bills over $15,000 for medical necessity, billing accuracy, and reasonableness.  One out of eleven bills include error or excessive payment demands.

Medicare-based Benefit Limitation for Out-of-Network Claims: At 150-200% of Medicare, average net savings increase from 15%-45% and appeal rates stand at less than 5%. Members become more accountable for significant out-of-network expenses.