Naviguard brings insight, understanding, and decades of health care and health insurance experience to our members medical billing situations. By expertly managing all the details and interactions with providers, Naviguard can help members find resolution on their out-of-network medical bills, so you can breathe a sigh of relief.See how Naviguard works for Members
WHAT WE DO
Relieve your frustration with a pathway to resolution
Out-of-network medical bills can be expensive and sometimes catch you off guard. Naviguard is here to provide clarity, reduce frustration, and reach a solution where everyone benefits — patients pay market-value prices and providers receive timely payment for their work.
Out-of-network billing can be confusing and costly. That’s because navigating your way through an unfamiliar process takes a great deal of time, creates stress, and may not even result in clear answers.
of patients in America have been surprised by an out-of-network bill.1
2 out of 3
Americans are worried about affording unexpected medical bills.1
of out-of-network medical bills come from situations that won’t be covered by the No Surprises Act.2
1 Kaiser Family Foundation, Data Note: Public Worries About And Experience With Surprise Medical Bills, 2/28/2020.
2 Based on UHC commercial claims data 2020-2021.
Naviguard has answers
Get the out-of-network support you need with Naviguard.
“This was such a blessing. My advisor explained everything and sent us the info we needed. She did all the work and kept us in the loop. Such a relief to know this has been taken care of, and I could put my focus on my husband’s health rather than fight with providers.”*
We have a 56% success rate in negotiating lower out-of-network bills with providers for our members.
- Based on Naviguard’s engagement with its members during January 2021 through August 2023. Negotiation success rate is based on claims negotiated to less than billed charges. Negotiation success rate may vary and is not a guarantee of future results.
“I’ve never heard of this service until I had a large balance on an out-of-network ambulance bill. Somehow this bill was reduced by nearly $500. Thank you!!”*
“Thank you so much!! This is such a huge weight off my shoulders!”*
Naviguard has handled hundreds of thousands of cases to help resolve out-of-network medical bills.
“Definitely will recommend Naviguard, they were extremely helpful and took over the issue right away and fixed it. Thank you, thank you!!!!!!!!!!!!!!!!!”*
- Patricia, Arizona
“In addition to a favorable outcome, the overall customer experience was excellent. First, it was easy to get a representative on the phone without going through several annoying phone menus. The interactions via email were simple to use and very straightforward.”*
- Kimberli, South Carolina
“Very easy to work with and they reduced my medical bill significantly.”*
Naviguard engages with over 5,000 providers across the United States in over 170 care specialties.
“They were able to resolve my issue in a very favorable way. I just gave them the information and they did all the work.”*
Lucas, New York
Over $100 million in total member savings to date.
Savings measured by taking the difference between the aggregate out-of-network original billed amount and the aggregate final allowed amount under the plan during January 2021 – August 2023 for cases where Naviguard was engaged by a member to negotiate a balance bill on the member’s behalf, through August 2023. Includes disputed claims but excludes denied claims.
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GET TO KNOW NAVIGUARD
We’re the experts people look to for out-of-network billing solutions.
Helpful resources to bring clarity
Use these resources to learn more about out-of-network medical bills, how to deal with them, and how to avoid them.
On January 1, 2022, the No Surprises Act (NSA) went into effect, prohibiting medical balance bills for many — but not all — out-of-network services. However, there are still situations when patients are not covered by the NSA – and that’s where Naviguard comes in.
Have a question for Naviguard or want to learn more about our out-of-network medical bill services?
*Experiences and results for individuals will vary. Naviguard makes no guarantee that any individual (or any group collectively) will achieve certain results.