H.H.C. Group’s team of industry experts utilizes technology, tenacity, and superior negotiation skills to minimize your clients’ healthcare spend.

How much can we save you? Let’s find out.

Know-How + No-nonsense Tenacity = Greatest Healthcare Savings

For more than three decades, H.H.C. Group has helped TPAs and Stop-loss Carriers empower their clients with repeatable, reliable, and measurable cost savings solutions.

How do we do it? Through our consultative and systematic approach, proprietary databases, and access to the latest healthcare pricing data, we help unlock substantial medical claims savings. But it’s more than technology. Our attorney case managers build strategic relationships with provider decision makers, so we more savings on more claims–every time.

Negotiation of out-of-network claims

Realize greater savings from out-of-network claims when we negotiate directly with provider decision-makers to secure signed agreements.

Negotiation of in-network claims

Generate significant incremental savings below the PPO discounts on in-network claims—and you pay only when the savings are attained.

Repricing claims from PPO partners

Maximize PPO discounts on out-of-network claims with HHC smart routing on claims as small as $1.

Line-item review

We utilize nurse specialists to identify more costly bill errors inappropriately and unusually high charges.

Claim and medical record level
DRG Validation

Identify and correcting potentially costly inconsistencies between the DRG and the procedure and diagnostic codes on the claim

Medicare reference-based pricing

Using our own proprietary software to cost efficiently reprice the claims and personalized balance billing support to maximize enrollee satisfaction.

We Take on the Hard Cases...and Succeed!

Here’s something you don’t see everyday:

We may not be successful in every claim (nobody is), but when we win, our wins can be substantial. Our average success rate for in-network claims is 30% and approximately 70% for out-of-network rates! Additionally, our hit ratio is 2 out of 3 out-of-network claims with a 43% average savings. Here’s a recent case study that proves just that. While these savings and the savings found in our other case studies may not be indicative of every claim we handle, we always go in with a never-give-up attitude to reduce your clients’ medical bills.

In-Network Claim Success

Our dedicated team of nurse experts, medical director, and attorney negotiator, along with our client TPA, took a multi-faceted approach to reduce this substantial hospital medical claim:

Savings Of $1,340,712.23 For This Client

Read the Full Success Story Here

Out-of-Network Claim Success

Our Case Manager took charge, leveraging a combination of technology, tenacity, and his expertise. Then through strategic negotiations with the decision maker, the Center agreed to the revised amount and drastically reduced the payment you see below:

$152,626 in Client Savings

Read the Full Success Story Here

Take a look at some more successful case studies to see how we’ve helped maximize savings on medical claims for our clients

What our customers are saying

"H.H.C. has assembled a team of professionals that have studied the healthcare marketplace and pinpointed vital information needed by those holding liabilities in the market - truly ‘reasonable’ costs associated with healthcare. From the Patient, to their Provider, to the Health Plan, to the Plan Sponsors, to the Insurers, ALL parties ultimately benefit from the services H.H.C. provides."

Vice President, Claims Auditing Company, Massachusetts

"Reliability and quality are two characteristics I value most. And both of those can be found in the operations of H.H.C. Group. I have personally been working with your company since 2009 and there has not been a day when I had to worry, stress, or complain about professionalism. The team at H.H.C. Group values both time and money, and delivers results within the stipulated deadlines."

Operations Liaison, TPA, Pennsylvania

"Congratulations on 25 years! H.H.C. Group is an amazing company, providing excellent service to all
its clients! Thank you for all you do!"

Implementation Manager, TPA, Texas

"HHC assists in "off menu" requests as well as ones we are currently contracted for. HHC is typically the first vendor I think of when I get approached an out of the ordinary request."