Excellent medical cost containment from Penfield
Faz Subhani, VP Sales and Marketing at Penfield, shares with ITIJ some impressive medicalclaims negotiation successes
My role as Penfield’s VP for Global Sales & Marketing means I am responsible for welcoming new clients to Penfield, as well as ensuring our existing clients are delighted with the services and results they receive from the expert Penfield team.
At Penfield, we are keen to see if you are willing to achieve the lowest medical costs. How can you be sure that the medical bills are 100% correct? Are you looking for the industry experts for medical cost containment, claims negotiations, medical bill reviews or subrogation in North America?
Penfield are regarded as industry experts for all of these services, and here are some real-life medical cases we have worked on recently for our clients, and the superb results we achieved for them:
SUCCESS STORY 1
Procedure recovery
Provider: a skilled nursing facility in NJ
60 year-old male – patient
$173,600.00 – billed
$38,750.00 – paid
$134,850.00 – savings (78% discount)
This gentleman required 30 days of skilled nursing services to recover from surgery. Penfield negotiated a final settlement based on a fixed per-day rate, resulting in a 78% discount while ensuring the provider could meet its level of cost.
SUCCESS STORY 2
Fractured left-wrist surgery
Provider: a hospital in Washington state
43-year-old male – patient
$59,117.45 – billed
$12,203.32 – paid
$46,914.13 – savings (79.4% discount)
This insured gentleman required surgery to repair a fractured left wrist at work. Penfield negotiated a final settlement based on Medicare-equivalent benchmarks for the provider location, resulting in a 79.4% discount while ensuring the provider received fair payment.
Penfield negotiated a reimbursement based on the state fee schedule rate
SUCCESS STORY 3
Nerve damage repair
Provider: a surgery centre in Texas
64-year-old female – patient
$33,594.12 – billed
$6,140.00 – paid
$27,454.12 – savings (81.7% discount)
This lady required surgical intervention to repair somatic nerves in her back. Penfield negotiated a reimbursement rate equal to the ambulatory surgery centre fee schedule. The result was an 81.7% discount while ensuring fair payment for both payer and provider.
SUCCESS STORY 4
Blunt trauma due to fall
Provider: a hospital in Florida
59-year-old male – patient
$25,497.00 – billed
$10,960.63 – paid
$14,536.37 – savings (57% discount)
This gentleman required numerous CT scans on the head, chest, spine and neck due to a fall. Penfield negotiated a reimbursement based on the state fee schedule rate. The result was a 57% discount while ensuring a smooth billing process for an out-of-network provider.
SUCCESS STORY 5
Spinal injury following a car accident
Provider: a hospital in Illinois
64-year-old male – patient
$262,762.28 – charges
$105,657.37 – paid
$157,657.37 – savings (60% discount)
The patient suffered spinal injuries following a serious accident while driving from one business meeting to another. He was admitted for 11 days and underwent multiple surgical procedures. In addition to securing a sign-off for a cost-plusbased reimbursement for the facility charges, the negotiator was also able to secure agreements for a number of physician fees at a cost lower than the client’s previous vendor who had been handling these expenses.
To view more of our case studies, head to our website: www.penfieldcare.com/ case-studies.html
Faz Subhani
VP Sales and Marketing, Penfield
Faz is Penfield’s VP of Sales and Marketing, and is a trained clinician, having qualified from University Hospitals Coventry & Warwickshire. He is also an MBA graduate from the University of Birmingham Business School, specialising in International Business and marketing. Faz’s successful career spans over 30 years working in the healthcare sectors, both in the UK and internationally, with experience specialising in the pharmaceutical industry, medical insurance, medical equipment, and management consultancy sectors. Contact Faz by email at [email protected] and phone: +44 7719 114999
November 2025
Issue
In this issue of ITIJ we look at current travel patterns to and from the US and Europe, take a close look at the Italian healthcare system, and examine how insurers are adapting policies and coverage to manage weather-related challenges.
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The Editorial Team updates the ITIJ website daily, and works on features for the print edition. With expert industry knowledge and years of experience in writing about complex travel insurance issues, the Editorial Team is ready to investigate and report on the topics that matter most to ITIJ's readers.
