Market Value Pricing (MVP)

FAIRPAY Solutions, Workers' Comp, Negotiations, Long Term Care (LTC)

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"I believe the most important part of our relationship has been FAIRPAY's willingness to cater to our unique needs and then deliver the highest quality of service I've seen from a vendor partner in my 34 years in the industry. You have met our system interface needs, performance reporting requirements and assisted us in saving every dollar possible in medical cost."

— Darrell Price, Chief Claims Officer, SVP Claims, AmTrust North America

market value
pricing

Workers' Compensation

FAIRPAY's methodologies include Charge Validation Analysis (CVA) and Market Value Pricing (MVP). These proprietary processes identify inappropriate or erroneous provider charges at the line item level and help payers find a fair, reasonable price for healthcare.

After completing CVA to identify invalid or inappropriate charges, MVP reviews remaining charges to identify line items with inflated mark-ups, such as implants, devices and drugs.

MVP leverages our authoritative data to identify a fair and reasonable suggested payment for services and supplies. A sampling of the data elements reviewed during MVP includes:

Provider/facility cost and charge data

Provider/facility accepted payment data

Competitive market charge and accepted payment comparisons

Jurisdictional case law and legal benchmarks on limiting charges

Implants and devices cost data

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