Focus on Fair and Reasonable
Qmedworx begins the negotiation process after we've reviewed and recommended reimbursement for the original claim. Through this unique and fair approach, the final agreement on payment is usually significantly less than the original billed amount.

Once the negotiation begins, our professional and trained staff uses many tools to approach and present a negotiation agreement. Qmedworx analyzes every claim to accurately establish a reasonable reimbursement recommendation. Based on many years of historical as well as current paid data, our recommendations represent accurate, fair and reasonable costs of medical procedures.

No Balance Billing
An important component of our negotiation process involves securing a signed provider agreement acknowledging acceptance of the recommended payment to assure no balance billing to the member, patient, injured worker or payor.

Expert Witness Testimony
Most objections from providers are resolved through our negotiation process. However, our Dispute Resolution Litigation Response teams are prepared to defend our recommendations by assisting with litigation preparation and providing expert witness testimony, when necessary.

In defending our methodology and medical claim reviews, Qmedworx is dedicated to maintaining the integrity of our reviews, and our responses stay consistent and defensible.

	Expert witness testimony to defend recommendations–included as part of Qmedworx services
	Assistance with trial preparation including exhibits and the trial brief