Determine Medical Necessity with
URAC-accredited Independent
Medical Reviews
Objective, impartial and unbiased evaluations by clinical experts.
H.H.C. Group is the Industry Leader:
  • URAC-accredited services
  • 1 of 5  Independent Dispute Resolution Entities (IDRE) Certified in the State of NY
  • Global Recognition for Quality Management ISO Certification 9001:2015
  • 30 years of assisting payors in controlling their medical claim spend.
Our proven strategies and solutions optimize health plan performance, enhance fiduciary responsibility and ensure financial stability.
CLAIMS NEGOTIATION

Achieve fair provider payments while effectively managing healthcare spend and reducing claim costs

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MEDICARE REFERENCE BASED PRICING

Pricing management based on predetermined rates, controlling costs with a focus on transparency and reasonableness

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INDEPENDENT MEDICAL REVIEW

Timely, unbiased reviews from qualified specialists at competitive rates

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MEDICAL BILL REVIEW

Uncover costly errors on in-network and out-of-network claims

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WORKERS' COMPENSATION

Efficient repricing to fee schedules with additional savings below state-mandated rates

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IDRE

Resolve surprise medical bill disputes quickly and fairly

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Who We Serve
  • Self-Insured Employee Health Plans
  • Workers' Compensation
  • Third Party Administrators
  • Brokers
  • Stop-Loss Carriers
  • Medical Stop Loss Captives
  • Managing General Underwriters (MGUs)
  • Government Health Plans:  ERISA and other regulated health plans
  • General and Specialized Health Insurance Markets
  • HMOs and Regional Health Plans
  • State and Federal Health Agencies
Stop Overpaying: Contact H.H.C. Group today.

Case Studies, News, & Insights

CUSTOMER TESTIMONIALS

"I love working with HHC. All of their staff are knowledgeable, helpful, and friendly. My mother had Covid and an employee of HHC immediately added her to the church prayer list. I am very grateful for that. This is above and beyond. Thank you."

Southwestern TPA

"H.H.C. has assembled a team of professionals that have studied the healthcare marketplace and pinpointed vital information needed by those holding liabilities in that market - truly 'reasonable' costs associated with healthcare."

Stop Loss Carrier

"The whole staff I work with have been so helpful. In dealing with a provider with claims from over a year ago they were able to get the same discount they did a year ago! We were on a time crunch also and were able to get me the negotiation and the invoices within 2 days. That was a big WOW for me and my staff."

Midwestern TPA

"No matter who I deal with, they are knowledgeable & willing to assist in any way they are able to."

MGU

"When I think of HHC Group, I think of a very positive & pleasant company to do business with. I know they will meet my needs."

Labor Union Owned Insurance Company

"I've been working with HHC for over 13 years and I have nothing but good experiences with your company."

TPA

PRESS RELEASES
March 04, 2025
H.H.C. Group Highlights Flat-Fee Approach to Dialysis Claim Re...
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February 27, 2025
H.H.C. Group Achieves ISO Certification, Highlighting Commitme...
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February 12, 2025
H.H.C. Group Releases 2024 Client Survey Results, Projects Key...
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INSIGHTS: THE HHC Blog
April 03, 2025
Client Success Story: Laparoscopic Out-of-Network Surgery Case
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March 27, 2025
Client Success Story: Cardiac Arrhythmia Case
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March 24, 2025
Enhancing Fiduciary Responsibilities
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The HHC Newsletter
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March 12, 2025
Volume 17, Issue 3 - March 2025
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