The WellRithms Shield

The Shield is an ERISA-compliant product that deals with high-dollar medical claims and COMPLETELY PROTECTS the member from balance billing abuses with guaranteed savings.

WellRithms Offers Total Indemnification For Select Group Health Claims

MyHealthGuide Source: WellRithms, 1/13/2020

WellRithms is pleased to announce the most innovative cost-containment solution available to the self-funded market, The WellRithms Shield. Developed by leading ERISA attorneys and medical claim experts who work with payment dispute issues daily, the Shield is an ERISA-compliant product that deals with high-dollar medical claims and COMPLETELY PROTECTS the member from balance billing abuses with guaranteed savings.

Have you paid more than you thought was reasonable on a claim due to a minimal discount from a wrap network in order to minimize member and plan disruption? Are you paying monthly fees for legal defense which is both ineffective and costly? If the answer is yes to either of these questions, then you need the WellRithms Shield. The only way to protect the plan AND the member is for a third party to intervene as a co-fiduciary and indemnify both the plan AND the member by taking over the liability for the payment, which is what the Shield does.

There are many member-advocacy services available, but at the end of the day, if the provider refuses to accept the payment, the balance billing problem remains. Providing the member with an attorney is stressful and frustrating for all parties involved and rarely solves the problem without some type of additional payment. Since an attorney can only represent the member, the problem may be worsened by creating an adversarial relationship between the member and the plan, and then the whole initial problem of the claim is unresolved. Thankfully, the WellRithms Shield avoids all these issues.

Another important advantage of the Shield is that it can be used on individual claims. This allows the plan to keep their current RBP cost-containment program, but when the provider refuses payment, and negotiation fails, the WellRithms Shield can solve the problem. Email info@wellrithms.com today for a demo on how the Shield can work for you.

About WellRithms

WellRithms is based in Portland, OR and has been providing expert claim and bill review for group health and workers’ compensation for over 25 years. Founded by Dr. Merrit Quarum, WellRithms integrates medical expertise, legal acumen, and full-service technology to provide the highest level of defensible Sustainable Claims Pricing (SCP) for out-of-network group health claims and Sustainable Bill Pricing (SBP) for out-of-network workers’ compensation bills. Contact Anna Quarum, MA, ACC, Co-Founder and President, at aquarum@wellrithms.com and visit www.wellrithms.com.

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