EthiCare Advisors, Inc.

Medical Claims Settlement Specialists™

Thank you for visiting the website of EthiCare Advisors, Inc., a leading medical cost containment organization.  Our cost containment and medical claims settlement services are geared towards assisting medical claim payers control costs on high-dollar claims and claimants with chronic conditions.  Our results have earned us a reputation in the medical cost containment industry as a professional organization that can quickly and accurately assess a claim and deliver multiple cost containment settlement options to the payer.  Please take a moment to review our unique and flexible cost containment strategies to help you decide if EthiCare Advisors is the right partner for you.

 

• In-network & out-of-network negotiated claim settlement with a signed release.
• Medical bill review/audit focusing on accurate coding and billing.
• U&C, Medicare and AWP pricing data to help payers properly adjudicate claims or compare billed charges to these benchmarks.
• Our National Passive PPO Network which is comprised of more than 25 regional and national PPOs with more than 200,000 providers.
• Dialysis and cancer medical claims settlement programs.
• Pharmaceutical treatment plan reviews and Strategic Pharmacy Management™ provided by our own Staff Pharmacist.
• FactorSolutions™ – the industry’s first program specifically aimed at cost containment for patients with hemophilia and other bleeding disorders.

Our cost containment team includes a wide spectrum of professional talent including an expert from the dialysis industry, a staff pharmacist, medical coders/auditors, risk managers, and financial case managers skilled in the masterful art of negotiating fair and reasonable settlements with providers.  Our goal is always to settle a claim that leaves both the payer and provider satisfied, however, when that is not possible, we offer alternatives to the payer and let the payer choose the direction of cost containment.

We are committed to designing, executing and continuously improving comprehensive cost containment programs tailored to your specific needs. EthiCare Advisors achieves significant savings that will improve your bottom line.  You’ve already made the decision to seek out information on EthiCare’s cost containment services, why not get started saving money today!