What happens when a provider contacts Reliant about a payment recommendation?
Reliant takes full responsibility for defending our payment recommendations any time providers contact us. We provide detailed explanations illustrating how the determination was created, and address each area of concern. We follow up with the provider to verify $0 balance on accounts and maintain Appeals Logs. If providers request additional payments, we contact clients regarding amounts allowed for negotiated settlements. If providers are unwilling to settle and proceed with balance billing the patient, we continue to defend our recommended payment and attempt to absolve the patient of responsibility for amounts over the allowed payment.