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Pathway Review Systems, Inc.

Savings Negotiation Program (SNP)

The Savings Negotiation Program (SNP) is designed to negotiate discounts for both prospective and retrospective non-PPO hospitals and facility claims. This includes hospitals, outpatient facilities, subacute and extended care facilities, inpatient rehabilitation centers and inpatient mental health facilities. The program provides:

More information 

  • Patient focused savings negotiation
  • Prospective Savings Negotiation (prior to rendered service)
  • Retrospective Savings Negotiations (after service is rendered)
  • Review of Negotiated Claim for Appropriate Services / Pricing

The Savings Negotiation Program is managed through the finance department and utilizes an experienced negotiator to negotiate with the various facilities. The staff member handling the negotiation is knowledgeable of the proposed procedural treatment, the reasonable and customary charge as well as the specific plan language.

The program focuses on the patient's medical needs while negotiating with the treating facility. It extends the provider network, gives the participant choice and assists the employer group with controlling health care cost.

Right of Change

Pathway Review Systems reserves the right to modify the parameters of the services listed above without notice when clinically and/or operationally necessary/warranted. Provision of any services not listed above may be subject to additional fees