The MedCost Contain (MCC) Specialty Bill Review Solution offers innovative, comprehensive, worry-free true cost containment for our clients. All designed to maximize savings while minimizing provider challenges. Our focus, experience, and accomplishments in the area of specialty bill review are unprecedented as confirmed by an ever broadening client base, 100% client retention, and consistent customer satisfaction ratings of excellence.


MCC's specialty bill review service is a cost savings solution that provides our client employers with added savings by re-pricing healthcare claims for necessary medical services to the amounts which constitute usual and customary fees in the geographic region where the services are provided. Compelling savings are achieved through the analysis of each claim resulting in payment recommendations that are objective, fair and reasonable.

Superior Product

  • reviews performed based on appropriate methodology and industry standards

  • second opinions provided by physicians from same medical specialty as claimant’s healthcare provider

  • payment recommendations based on provider specific cost and reimbursement criterion

  • financial, medical, and legal considerations integrated in each review

  • average savings 58% on penetration rate of 98% of claims received

MedCost Contain Advantages

  • Robust database of information garnered from historical healthcare claim transactions

  • Immediate turn-around on all claims

  • Obsessive commitment to exemplary customer service

  • Complete handling of any provider appeals or requests to reconsider claim or additional payment

  • Full defense of all payment recommendations

MedCost Contain (MCC), is an authority on medical claim and specialty bill review services for administrators of ERISA-based benefit programs. We specialize in making objective determinations of usual and customary fees for necessary medical services for treatment of occupation injuries sustained during the course and scope of employment. Since 2015 we have used innovative technology and data-driven algorithms to deliver fair and reasonable payment recommendations. Our comprehensive evaluation includes in-depth legal, medical, and financial analysis using multiple data resources resulting in significant savings for our clients. Our payment recommendations are backed by expert opinions provided by a physician from the same medical specialty as the claimant’s healthcare provider. Based on their own experience in private practice, our experts are knowledgeable of the usual and customary fees in the geographic region where the services were delivered.

MCC helps payers of medical claims combat inaccurate and egregious charges by healthcare providers.