Coordination of Benefits Adjustment (COB)

Do you cover the deductible, copay, and coinsurance expenses for those Tribal Members that have medical insurance through their employer?

If so, MLR Tribal Solutions, LLC can provide a COB service that will in essence show your financial responsibility to be ZERO! And, the facility CANNOT balance bill the employee!

We will work with the facility/provider to clearly demonstrate to them what they are financially entitled to as well as provide them with the CMS regulation language needed to get them to “write off” the balances they are seeking.

This service will immediately put tens of thousands of dollars, if not hundreds of thousands, back into your PRC budgets.

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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