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Inpatient and Out-patient
Reviews include line-by-line cost analysis and medical necessity of charges.
The philosophy is to be reasonable to payors, providers, and patients while
maintaining harmony within the scope and extent of the benefit plan. The
key is knowing where to look for savings that are legitimate, sustainable,
and based on sound review practice.
Hospital reviews are frequently used by attorneys
in large dollar amount litigated cases. Fees are based
on time required for review or line item charges, depending
on the extent of review required.
An itemized billing is required for all hospital
bill reviews.
Peregrin will provide a cost estimate before
proceeding with the review.
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