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Delivering affordability, efficiency and fairness to the US healthcare system

COVID-19 State Regulatory Information

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

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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.
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Network-Based Services

Flexibility is the new quality.
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Analytics-Based Services

Let the data guide you.
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MultiPlan recent news & updates

Texas Medical Association Challenges Provisions to IDR Process

On Thursday, September 22, the Texas Medical Association (TMA) filed a lawsuit challenging the August 19th Final Rule of the “Requirements Related to Surprise Billing.” The suit challenges provisions concerning the way Independent Dispute Resolution (IDR) entities must treat the Qualifying Payment Amount (QPA) compared to the additional factors described in the law: training/experience/outcomes; provider and plan market share; patient acuity; teaching status/case mix/scope of services of the facility; and prior good faith efforts to contract.

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Texas Medical Association Challenges Provisions to IDR Process

On Thursday, September 22, the Texas Medical Association (TMA) filed a lawsuit challenging the August 19th Final Rule of the “Requirements Related to Surprise Billing.” The suit challenges provisions concerning the way Independent Dispute Resolution (IDR) entities must treat the Qualifying Payment Amount (QPA) compared to the additional factors described in the law: training/experience/outcomes; provider and plan market share; patient acuity; teaching status/case mix/scope of services of the facility; and prior good faith efforts to contract.

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About MultiPlan

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

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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