Post payment provider agreement process

A method of establishing a payment amount for a medical service provider, said method comprising:

• receiving a medical service provider's bill;
• performing front-end negotiations and determining a repriced bill;
• having said repriced bill paid;
• performing back-end negotiations comprising:
• contacting said service provider after said repriced bill has been paid and making a first request that said service provider agree to at least one of signing a zero balance confirmation letter and of negotiating said repriced bill;
• negotiating, if said service provider agrees to negotiating said repriced bill, said repriced bill to an agreed settlement amount and providing a settlement letter to said service provider;
• waiting a predetermined amount of time, if said service provider does not agree to signing said zero balance confirmation letter and does not agree to negotiating said repriced bill, then recontacting said service provider and making a second request that said service provider agree to at least one of signing a zero balance confirmation letter and to negotiating said repriced bill.

A method of finalizing a negotiated medical bill payment comprising:

• providing, to a medical service provider, a first settlement document prior to paying a negotiated repriced bill to said medical service provider;
• receiving, from said medical service provider, a reconsideration bill related to said repriced bill;
• reviewing data associated with said negotiated repriced bill;
• contacting said medical service provider to determine if said medical service provider will at least one of agree that a zero balance is owed for said reconsideration bill and agree to negotiate said reconsideration bill;
• if said medical service provider agrees that a zero balance is owed, then providing a zero balance confirmation letter to said medical service provider;
• if said medical service provider will not negotiate said reconsideration bill, then waiting a predetermined amount of time and then contacting said medical service provider again to determine if said medical service provider will negotiate said reconsideration bill;
• if said medical service provider will negotiate said reconsideration bill, then negotiating said reconsideration bill using at least one data point associated with a reconsideration bill charge item and then establishing a negotiated reconsideration bill;
• providing, to said medical service provider, a second settlement document prior to having said negotiated reconsideration bill paid.