Medical Cost Containment & Claims Management

GMMI offers a full range of claims management, audit & negotiation services. Our team of experts is dedicated to provide the highest quality claims reviews.

GMMI’s claims service ranges from simple Network Claims Repricing, Out of Network Claim Negotiations, Best-Practice Bill Auditing, to the more sophisticated Coordination of Benefits & Subrogation services.

  • Proprietary Networks (in the USA and globally)
  • National Networks
  • State & Region Specific Networks
  • Carve-Out / Specialty Networks
  • Reference-Based Pricing
  • Out of Network /High Dollar Claim Negotiations

Discount Intelligence - with over 30+ years of medical claims management experience, GMMI combines the tools described above with our rules-driven medical claim administration software. When analyzing claims, GMMI utilizes its own claims data history as well as industry benchmarks, which include for example, reference-based pricing using Medicare + as the basis for claims negotiations and settlements.

Our negotiation services begin with a unique situational analysis to determine the best course of action for our clients’ claims. GMMI’s Negotiation services are optimal for:

Out-of-Network Claims
Claims Auditing
Global Settlements
Unpaid or Dated Claims

GMMI's negotiations strategy eliminates the risk of deferred liability – negotiation settlements end with a signed-off agreement.

Part of our complete cost containment strategy includes the detection, and prevention of, Fraud Waste and Abuse through:

  • Data Analytics through UCR/Medicare Benchmarking
  • Claims Auditing
  • OFAC screening
  • Payment integrity through analytics for coding validation, unbundling and Corrective Coding Initiative Edits

Nurse and Patient

Subscribe to our Newsletter

GMMI logo white

GMMI is a leading URAC accredited, ISO 9001:2015 & ISO/IEC 27001:2013 certified provider of cost containment and medical risk management solutions.

We are Passionate for People.
Focused on Client Results.
Driven by Legendary Service.

Part of the Europ Assistance Group

Contact Us

Phone Number: +1 (954) 370-6404
Toll-Free (in the U.S. & Canada):