top of page

PAYERS

Experience the Savings Generated by Direct Access to Manufacturers, Suppliers and Distributors

no symbold - blue.png

Rebilling

No Re-Billing Middlemen 
= No Hidden Markups

The ClearPrice Networks program eliminates the 30% to 50% markups added to health care providers bills by re-billing vendors.  PAYERS PAY THE RENDERING HEALTH CARE SERVICE PROVIDER DIRECTLY AND TRANSPARENTLY BASED ON THE CPN PROVIDER CONTRACT RATE, REFERENCE BASED PRICE OR NEGOTIATED AMOUNT.  The ClearPrice Networks program can cut approximately 10% to 35% off the price charged to Payers by re-billing vendors for both prospective referrals and retrospectively referred bills.

Network Discounts + Out of Network
Solutions = Maximum Savings

  • National Specialty Network of 4,800+ Provider Locations

    • ClearPrice Networks (CPN) negotiates direct discount network contracts with both large and small Durable Medical Equipment, Orthotic, Prosthetic and Supply (DMEPOS) vendors. All of CPN’s network providers meet strict licensing, credentialing and insurance requirements.  

  • Out of Network Solutions

    • CPN’s Referential Pricing 

      • Referential Pricing recommendations are developed using an extensive database of public, private and proprietary healthcare cost and payment data. 

    • CPN Single Case Agreements (SCA's) 

      • When an existing CPN Provider cannot treat a CPN patient, the CPN Fulfilllment Team can negotiate a comparable CPN rate for an SCA when necessary using our vast database of healthcare billiing and payment data​

map.png

Direct Billing + Direct Payment = Bill Review Integration via EDI Bridge

  • Direct Billing & Payment

    • ClearPrice Networks mandates direct billing by its contracted CPN Providers and direct payment by Payers.  This streamlined process eliminates “TIN-FLIPPING”, “KILL-BILL” and other inefficient bill review processes used by re-billing vendors.  The CPN program facilitates faster payment and helps to keep administrative costs low. 

  • Easy Bill Review Integration & Implementation

    • The CPN program is designed specifically to work seamlessly via EDI repricing bridges with Payers bill review partners.  This repricing process has been in place for traditional PPO’s & networks for 30+ years, and can be “turned on” easily and quickly with your bill review partner/vendor.

Complete Payment Transparency = Trusted Partnerships with Payers

  • CPN Fee Payment Transparency

    • Each ClearPrice Networks Fee charged on every bill is completely transparent.  Regardless of whether the CPN Fee is based on shared savings, cost plus, or a fixed or flat fee, Payers will always know exactly how much they are paying CPN.

  • CPN Provider Payment Transparency

    • ClearPrice Networks contract payment rates are established by contract, in clear, concise rate tables that comply with applicable state and federal fee schedules. There are no markups or hidden charges, and updates for new codes, equipment or services are uploaded at regular intervals. Both CPN Payers and Providers have complete visibility into the reimbursement rates for each priced bill.

bottom of page