| In 2025, MedBen clients who used fair market pricing achieved an average discount of 59.3% with an appeals rate of just 0.2%. |
Fair market pricing combines the strengths of traditional PPO networks and reference-based pricing by reviewing every claim to determine the right payment amount. Rather than applying a fixed discount or a one-size-fits-all formula, we evaluate each service individually and use objective data to recommend a fair reimbursement.
Fair market pricing features:
- Comprehensive national data modeling, grounding reimbursement decisions in real-world market experience.
- Geographic and provider-specific benchmarking, aligning payments with local cost patterns.
- Dedicated payment support and negotiation, resolving provider inquiries efficiently.
Taken together, it adds up to maximum savings with minimum noise.
To learn more about fair market pricing, visit MedBen.com or contact your broker or MedBen Marketing representative.