Claims Management
SphereMD simplifies the complexity of U.S. healthcare billing for P&I Clubs, Ship Owners, and Ship Managers. Our Claims team ensures fairness, transparency, and measurable cost savings through meticulous auditing, skilled negotiation, and complete case resolution.
We bring medical and financial expertise together to protect our clients’ interests while maintaining the highest standards of care for every mariner.
Bill Review & Auditing
Healthcare billing in the U.S. can be confusing, fragmented, and inflated. Our experts review every medical bill to ensure that charges are accurate, reasonable, and compliant with accepted standards of care.
We conduct thorough reviews of all medical charges to ensure accuracy, fairness, and alignment with accepted standards of care. This process ensures that clients pay only for legitimate, necessary care…no more, no less.
Bill Negotiating & Discounting
SphereMD negotiates directly with hospitals, clinics, and specialists to achieve substantial savings on medical bills, often up to 90% off the original charge.
Our long-standing relationships with U.S. medical providers allow us to advocate effectively for fair, transparent pricing. Every discount we secure is passed directly to our clients, along with a detailed summary of savings and documentation for your records.
Jones Act Case Management
For Jones Act cases, SphereMD provides full-service coordination, from medical care and payment facilitation to Maximum Medical Improvement (MMI) evaluations and final reporting.
We approach each case with professionalism and empathy, supporting both patient recovery and client objectives through clear communication, accurate documentation, and cost-effective medical oversight.
Aged Case Review
SphereMD’s Claims team specializes in resolving aged or stalled cases, even those left open for years. We collect missing bills, audit existing charges, and negotiate settlements to ensure equitable and timely closure.
Our process includes:
With our expertise, old or overlooked cases are efficiently reviewed, documented, and brought to completion, saving time, cost, and administrative burden.
Our team combines medical insight, financial accountability, and ethical practice to ensure every case is managed with precision and integrity.
Partner with SphereMD for medical claims management that is fair, efficient, and transparent, every time.
