FairPay Flex: Top States Fast Facts
FairPay Flex shines in states with gaps in fee schedule coverage or where no clear objective value is directed by the state. The states where fee schedules are incomplete or nonexistent delivering the greatest savings impact are: Arizona, Iowa, Missouri, New Hampshire and New Jersey.
Download NowArizona
Arizona’s legal framework provides a strong foundation for fair and reasonable medical bill pricing, keeping the burden of proof on providers and offering a balanced time frame for dispute resolution.
Arizona has a specific fee schedule for physician bills, but no schedule exists for inpatient, outpatient, or ambulatory surgical centers.
73% Average Savings
39% Traditional PPO Average Savings
4% Average Reconsideration Rate
0% Average Dispute Rate
Bill Types: Any bill type except ambulance with charges greater than $500
Iowa
Provide necessary care for injured employees while paying fair, data-backed prices. If there’s a disagreement, Iowa’s system encourages you to resolve issues directly with providers and allows plenty of time to work towards a resolution. This approach helps manage costs effectively while fulfilling legal obligations and maintaining good relationships with health care providers.
Iowa does not have fee schedules for physician, facility or out-of-state bills.
55% Average Savings
19% Traditional PPO Average Savings
2% Average Reconsideration Rate
1% Average Dispute Rate
Bill Types: All bill types with charges greater than $500
Missouri
Provide necessary care for injured employees while paying fair, data-backed prices. If there’s a disagreement, Missouri’s system gives you strong legal protection and multiple ways to resolve issues.
Missouri does not have a fee schedule for physician, facility or out-of-state bills. The state law encourages the use of private market-based reimbursement for workers’ compensation medical bills. The state law promotes consent-based resolution for billing and payment matters.
54% Average Savings
29% Traditional PPO Average Savings
2% Average Reconsideration Rate
11% Average Dispute Rate
Bill Types: All bill types with charges greater than $500
New Hampshire
Fulfill your legal obligation to provide comprehensive care for injured employees while also protecting your bottom line. Our data-driven approach and expert reviews ensure you’re paying fair prices for necessary treatments.
New Hampshire does not have a fee schedule for facility bills.
32% Average Savings
16% Traditional PPO Average Savings
1% Average Reconsideration Rate
1% Average Dispute Rate
Bill Types: All bill types with charges greater than $500
New Jersey
Provide necessary care for injured employees while paying fair, data-backed prices. If there’s ever a disagreement, New Jersey’s system gives multiple opportunities to resolve issues fairly.
New Jersey does not have a fee schedule for physician, facility or out-of-state bills.
67% Average Savings
48–54% Traditional PPO Average Savings
2% Average Reconsideration Rate
9% Average Dispute Rate
Bill Types: Ambulatory surgical centers, outpatient, inpatient, out-of-state greater than $1,500; DME, ambulance, physician greater than $500
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