Healthcare Reimbursement

CRA’s healthcare experts advise on dispute resolution and reimbursement compliance for health benefits companies, healthcare providers, and plan participants. Our team of experts has evaluated health plans’ compliance with regulations and plan requirements regarding payments to out-of-network providers, audited payments made under the terms of network agreements, and have determined the fair-market or reasonable value of healthcare services. We have also assessed whether consumers’ benefits were adjudicated consistently with the terms of their plans. CRA provides these services in connection with arbitrations, litigation (including class action matters), and regulatory reviews.