UR Solutions is an organization with extensive experience in inpatient and emergency room utilization review, denials management, and administrative third-level appeals.

 

We are strongly committed to aiding hospitals and healthcare systems through every step of the denial and appeals process; enabling us to recover funds from commercial and government reimbursement payers who have denied or underpaid claims. We secure the future of our clients by helping implement denial prevention strategies such as: providing feedback allowing you to negotiate favorable contract terms with insurance payers, and providing education to our clients regarding their rights and responsibilities under federal and state regulations. We believe that hospitals should receive full reimbursement for services provided by holding insurance companies to their contractual obligations.