About MLR Tribal Solutions

Most Tribes take advantage of the Medicare-Like-Rate (MLR) Program by accessing the PC Pricer and APC manuals. Others hire third party vendors whose “software” actually just backs into the PC Pricer. Though the discount savings these methods provide are better than nothing, they do not result in the absolute highest discount you are entitled to.

Our mission is to show you how to maximize the MLR program savings through more sophisticated pricing software and more accurate internal procedures within your PRC Departments.

MLR Tribal Solution’s will perform a FREE financial analysis using your specific data. The results will clearly and objectively show you what your potential savings could be.

This email address is being protected from spambots. You need JavaScript enabled to view it. to schedule a free financial analysis.

MLR
Maximizer

Achieve 10%-20% additional savings from current pricing process.

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Overpayment recovery service

Review previously paid claims and collect overpayments.

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COB
Adjustment

Eliminate paying employee's deductible, copays, and coinsurance amounts.

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Repricing physician HCFA 1500 claims

Achieve Medicare allowable rates or we will negotiate on your behalf for best payment.

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