Service Spotlight: Reference-Based Pricing Navigator

Reference-based pricing (RBP) is a pricing model that helps self-funded employers reduce healthcare costs by paying for services based on transparent, benchmarked rates rather than through traditional network pricing. While RBP can create meaningful savings, employers and members often need additional support navigating providers, billing questions, and next steps for care.

OneVeracity’s RBP Navigator, part of our Care Solutions offering, provide the hands-on support self-funded employers and their members need to use their benefits confidently and avoid unnecessary complexity.

How our RBP Navigator helps

Expert guidance

Our navigators help members understand RBP, guide members to choose quality, plan-friendly providers, and provide clinical and navigation support so they can pursue care with confidence.

Proactive coordination with providers

Our team works directly with providers even before care begins to address insurance acceptance concerns, coordinate RBP-friendly pricing, negotiate single-case agreements, and coordinate pre-payments when necessary. 

Advocacy and end-to-end support

We support members at every step of the process, including maintaining continuity of care, coordinating direct pay, and resolving insurance acceptance issues to avoid delays and surprise bills.

A better experience for members and employers

Our RBP Navigator service helps remove barriers to care while supporting a health plan’s long-term stability. Explore all of OneVeracity’s Care Solutions and discover how you can offer high-quality care without compromising on cost savings.

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