FOR HEALTH INSURANCE PAYERS... Reduce Claim Costs And Stay In
In today’s health insurance world the management of
costs are critical. For claim administrators, insurance companies,
HMOs, union trust funds and self funded employers claims costs, are out
of control. And options for reducing costs are not always clear.
why utilizing PRISM’s sophisticated software to audit your plan may be a
good starting point. Are there opportunities for recovery of dollars
paid incorrectly? Are your provider networks offering you the maximum
in efficiency and savings? Do you want to maintain complete control
over all actions on recovery opportunities?
Consider using the
Medical Claim Analysis!
FOR HEALTHCARE PROVIDERS Interface More Cost Effectively With Managed Care Plans Improve Operating Costs Through Better Management Of Prior Authorizations
Most healthcare providers could interface more efficiently and effectively with large managed care plans. The time consuming and complicated tasks of negotiating managed care contracts and then getting prior authorization for needed medical services make large demands on your facility or practice.
Prism offers the experience and expertise to effectively handle your managed care agreements – from establishing fee goals to negotiating with managed care plans to ongoing contract management. When you need to obtain prior authorizations, eligibility verification, or appeal denials, PRISM can provide you with an extremely cost effective program to obtain them for you – with a success rate well above the industry average.
Consider using the PRISM Provider Managed Care Services
Contact PRISM Healthcare Resources LLC to see how our services can help you be more efficient and rein in your costs.