Client

FairCost offers two products that will help benefit plan administrators reduce costs on out-of-network claims.

FairCost QPA Assist is ideal for benefit plan administrators that want full-service support for the federal No Surprises Act (NSA) Qualifying Payment Amount (QPA) process. Services include application of the QPA rate, defense of the rate, plus support for provider requests for open negotiations and the federal Independent Dispute Resolution (IDR) process.

Product advantages include:

Reduces administrative burden, including explanation and defense of the QPA rate
Enables you to maintain positive relationships with the plan sponsor and provider
QPA rate is returned via Electronic Data Interchange (EDI) file

Please Contact us to discuss if FairCost QPA Assist is the right solution for your business.

FairCost Optimizer helps benefit plan administrators manage their out-of-network claim costs. FairCost Optimizer includes out-of-network claims that are not NSA eligible. Features include:

Intelligent negotiation – cost-up approach vs. a charges-down approach
Increased savings through a significant reduction in out-of-network, non-NSA claim costs
Optional negotiation support for members, which helps protect plan savings and minimizes balance billing
Multiple negotiation support options, providing flexibility and choice
One consistent method of reducing out-of-network claim costs when paired with FairCost QPA Assist, all through a single point of entry
Product regularly evolves – maximizing client savings and provider acceptance
One stop shop – we provide all service and support