Honu provides comprehensive reviews of managed care contracts to determine where opportunities exist and identify areas where services may need to be outsourced or re-negotiated with a payer.
Often times insurance payors place clauses within contracts that may prohibit a provider or facility from being reimbursed by a payer for a service that is often provided and covered within the summary plan document of the plan sponsor.
This often causes a financial burden to be placed on the patient, provider or facility when a service is performed. To rectify this, Honu provides insurance contract reviews and real-time management services that helps healthcare providers, facilities and patients identify if a service will be covered if provided and at what cost to the patient. If a product or service is not covered, Honu helps identify alternative options that may be covered by the payer.