Single Case Claim Services
On-Demand Savings for High-Cost, Out-of-Network Claims
LogroNetwork’s Single Case Agreement (SCA) Services deliver rapid, case-specific negotiation and pricing support for high-cost, out-of-network healthcare encounters. Whether it’s a complex surgery, a rare specialty need, or urgent care outside the primary network, we help payors and self-insured plans secure fair, defensible pricing—fast.
Targeted, High-Impact Cost Containment
When members receive care from a non-contracted provider or facility, SCAs provide an efficient way to contain costs while ensuring access to necessary treatment. LogroNetwork facilitates custom, one-time agreements with providers—often within 48 to 72 hours—balancing affordability, provider acceptance, and member satisfaction.
Key Service Features:
Rapid Turnaround: SCAs negotiated and executed within 2–3 business days
High-Dollar Case Focus: Ideal for transplants, specialty surgeries, or emergent out-of-network services
Transparent Pricing Models: Agreements tied to Medicare, UCR, or cost-based benchmarks
Nationwide Reach: Deep relationships with providers and facilities across all 50 states
Member Advocacy: End-to-end support to minimize disruption and protect against balance billing
Integrated Workflow: Compatible with LogroNetwork’s out-of-network and RBP services
Why It Matters
SCAs are a critical tool in addressing one-off, high-cost claims that fall outside standard network access. With LogroNetwork’s SCA services, plans can:
Prevent uncontrolled charges from driving stop-loss exposure
Avoid unnecessary delays in patient care
Achieve savings of 40–70% over billed charges
When every dollar matters and every case is unique, LogroNetwork delivers tailored, high-value outcomes—one claim at a time.