MedBen clients who used Fair Market Reimbursement in 2024 yielded a discount average of 56% with an appeals rate of just 0.23%.
MedBen’s Fair Market Reimbursement combines the best aspects of PPOs and reference-based pricing by evaluating all types of claims to determine the appropriate provider payment. Using national market data from millions of claims, we establish the right payment for billed services.
By factoring in geographic and provider-specific benchmarks, this reimbursement approach ensures fair provider fees while maximizing savings with minimal disruption, regardless of the service.
Most provider payment concerns are resolved without further action. If a provider has questions or submits an appeal, our payment recommendations are fully supported, and negotiations will be conducted if needed.
For more information on Fair Market Reimbursement and our other reimbursement strategies, visit MedBen.com or reach out to your broker or MedBen Marketing.