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Delivering affordability, efficiency and fairness to the US healthcare system

We have the expertise to help your organization manage surprise bills.

MultiPlan uses technology-enabled provider network, negotiation, claim pricing and payment accuracy services as building blocks for medical payors to customize the healthcare cost management programs that work best for them. We believe there is no such thing as a standard cost management approach. Used standalone or in any combination, our services improve both performance and competitive advantage for our clients.

Payment and Revenue Integrity Services

The most thorough claims review.

Network-Based Services

Flexibility is the new quality.

Analytics-Based Services

Let the data guide you.

MultiPlan recent news & updates

The Road to MRFs’ Final Data Schema Has Several Speedbumps

In October 2020, CMS issued the Transparency in Coverage final rule. As part of this rule, health plans are required to publish machine-readable files (MRFs) for their negotiated rates, out-of-network allowed amounts, and prescription (Rx) coverage rates and allowed amounts. On March 1, 2022 approximately 18 months after the rule was issued, CMS locked v1.0.1 of the schema for MRFs. Getting to this “enforcement data schema” wasn’t easy. There were 20 other versions of the schema before it — and CMS may not be finished fine tuning it either.

Read more >

The Road to MRFs’ Final Data Schema Has Several Speedbumps

In October 2020, CMS issued the Transparency in Coverage final rule. As part of this rule, health plans are required to publish machine-readable files (MRFs) for their negotiated rates, out-of-network allowed amounts, and prescription (Rx) coverage rates and allowed amounts. On March 1, 2022 approximately 18 months after the rule was issued, CMS locked v1.0.1 of the schema for MRFs. Getting to this “enforcement data schema” wasn’t easy. There were 20 other versions of the schema before it — and CMS may not be finished fine tuning it either.

Read more >

About MultiPlan

MultiPlan’s team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change.

MultiPlan by the numbers

Reported annually

Analyze

$ 0 Billion
in medical charges for cost reduction

Identify

$ 0 Billion
in potential savings for payors

Work with

0 +
payors

Support

0 Million
unique patients through our payor partners