ICS has developed its own internal Out of Network Signed Negotiation business model, called IRON, focusing on those medical bills that do not hit a PPO and meet certain dollar threshold and/or bill type criteria.
ICS utilizes two techniques when managing an out of network large bill, we either apply values inherent in our proprietary databases to bills that meet the pre-defined criteria and recommend a “fair and reasonable” value to be paid or we utilize our Nurse Auditors/Code Reviewers to negotiate bills that cannot be reduced through other means.
In either model, ICS always obtains a signed agreement from the medical provider to ensure that the agreed upon amount is never in question downstream which will eliminate disputes and arbitration and assist with reserving and total medical cost on a given claim, giving credence to the business models name of IRON, or Increased Results on Negotiations.