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In short, they pay too much. But are happy to have a new set of wheels.
Why does this happen? Typically, because even though the buyer thought they did their research, they did not know enough. They do not know all the tricks and little catch phrases the saleforce uses to move them in the direction they want. The dealerships have a strategy, Probably more then one. And it works…every time.
The same thing happens with Cost Management Vendors (CMVs). They are like are a dealership. They know exactly what a claim is worth. They know exactly how high the carrier is willing to pay on the claim. Their job is to convince you to take as little as possible. And they get paid very well for doing so. Do you know their strategies? Are you aware of how they “change directions” as you respond to their requests? Unforunately, most do not. That is why the great majority of providers and billers leave money behind, thereby filling the insurance carriers’ pockets. However, OPEs group DOES KNOW what they do and how they do it. We have been there. Some on our team have working for the very CMVs that are trying to take money away from you. We understand the strategies that large insurers and CMVs employ to reduce claim level reimbursement. And unless you completely understand their processes, it is impossible to beat them.