Achieving optimal medical claims pricing is crucial for payers, administrators, and self-insured groups. Expion Health is leading the charge towards innovation with our SaaS licensing option for the award-winning ExpionIQ platform. Discover how ExpionIQ is revolutionizing the approach to medical claims pricing, ensuring efficiency, transparency, and savings.
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Traditional out-of-network (OON) and reference-based pricing (RBP) services come with inherent limitations that can hinder your performance. The standard contingency pricing model creates misaligned incentives that can reduce your savings and limited transparency and control can lead to inefficiencies and a lack of optimization.
Direct access to the ExpionIQ pricing and analytics platform empowers you to overcome these limitations with a comprehensive claims pricing tool.
Advanced AI modeling factors in a variety of claims data points to accurately determine rates providers are likely to accept, ensuring more predictable and agreeable reimbursement terms.
Whether it’s automated reference-based pricing (RBP), compliance with NSA & state balance billing, contracted network agreements, worker’s comp, or payment integrity, ExpionIQ covers all your needs.
A volume-based pricing model ensures superior cost-effectiveness compared to contingency-based engagements.
With ExpionIQ, you gain unparalleled access to and control over your data, ensuring that every decision you make is informed and strategic.
Experience the Next Era of Medical Claims Pricing