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home Our staff of licensed health Insurance adjusters who are attorneys, nurses, pharmacists, physicians, and other health insurance professionals, will contact providers to negotiate/reprice your costly medical claims. Patients can submit/enter claims directly online for pricing reductions. Providers can use this site to electronically submit claims to health insurers.

If you have a question about a health care claim,
we can help.
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Insurer TPA
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• Claims Editing • Case Management • Claim Negotiations • Claim Repricing • Claim Scrubbing
• Data Mining • Disease Management • DRG Validation • Medicare Repricing • Medical Bill Review (Audit) • Medical Peer Review • Pharmacy Consulting • PBM • 3 Star Preferred Provider Network (PPN) • Predictive Modeling • Transplant Networks • Utilization Review • URAC Accredited Independent Review Organization (IRO)
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Licensed Independent Accident and Health Insurance Adjusters in the states of Florida, New York, North Carolina, and Oregon
H.H.C. Group is a Utilization Review Agency in Alabama and is a Licensed Independent Review Organization in Arkansas,
Hawaii, Idaho, Iowa, and Utah, an External Independent Review Organization in the States of Illinois, Ohio and Virginia,
a Private Review Agent in the Commonwealth of Virginia, and an Independent Review Organization and a Licensed
Medical Claims Review Agency in the State of Indiana

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