Hello there, I am having difficulty with Cigna and hoping someone out there has some advice.
We are an out of network provider for Cigna. They send our claims to Multiplan, who contacts us to negotiate a payment. Sometimes we are only offered 10-40% of what we bill. Obviously, I do not accept this offer and I send it back to negotiate. Sometimes I am able to get the multiplan reps to pay 80% of our billed amount and sometimes I can only get 40%. Sometimes, they accept my negotiated rate but process the claim at the initial rate of 10%.
Is there anyone else out there having experienced this? What did you do to work around this?
We are an out of network provider for Cigna. They send our claims to Multiplan, who contacts us to negotiate a payment. Sometimes we are only offered 10-40% of what we bill. Obviously, I do not accept this offer and I send it back to negotiate. Sometimes I am able to get the multiplan reps to pay 80% of our billed amount and sometimes I can only get 40%. Sometimes, they accept my negotiated rate but process the claim at the initial rate of 10%.
Is there anyone else out there having experienced this? What did you do to work around this?