Solutions to Optimize Healthcare Spend
6 Degrees Health uses evidenced-based data and a customer-centric approach to control medical reimbursement costs.
Partnering in the Self-funded and Healthcare Community
We work with brokers, TPAs, employers, stop-loss carriers, reinsurance, and health plans to significantly lower costs.
Benefits of Working With Us
When you partner with us, we will work together to tackle and
resolve your clients’ biggest issues in healthcare costs.
We review and audit all claims to ensure your clients are always paying a fair price
Our Healthcare Solutions
Reference-based Pricing (RBP)
RBP is a method of determining an allowable amount to pay the healthcare provider or facility. RBP refers to pricing outside of those set by traditional insurance carriers or rented networks.
Transplant and Surgery Network
We mix a wealth of provider contracting experience and proven data to negotiate strong contracts for transplant and other health services—a win-win for both Providers and Payers.
MediVI - Medical Benchmarking Software
MediVI, our proprietary evidence-based software, utilizes multiple benchmarks and industry recognized data to provide medical reimbursement analytics for clinical audits, contracting, claim negotiations, and determining reasonable claim payments.
Clean Claim Reviews
Our clean claim review process includes management of medical claims through the clinical review, payment, and all resolution and appeals activities with providers.
Our out-of-network solutions are perfect for those plans that are not quite ready for a full network replacement. Our solution allows access to the savings from a network replacement without fully implementing RBP.