http://www.modernbenefitsinc.com
MBI delivers cost containment solutions that minimize risk and reduce healthcare costs in today's environment. We will listen, develop a program tailored specifically for your needs, and we won't walk away; MBI "doesn't do business with its clients" instead, "we are in business with our clients". Utilizing a brokerage/consultant approach, we bring our clients over 50 years of industry experience, knowledge matter experts, innovative technology, and unparalleled attention to service. The combined experience of our team sets the standard for excellence in all that we do. That excellence is realized by MBI's desire to drive excess healthcare costs from your programs, achieving savings and orchestrating quality to promote a long-term reduction in overall healthcare costs. MBI is committed to quality. But, we go much further by building professional relationships with our clients that endure.
http://www.optimalhealthgroup.net
Optimal Health Group has the expertise to provide detailed analysis, strategic plan development and implementation for the full spectrum of medical management services. We provide a synergistic integration of medical management, management information systems and data production and analysis. Optimal Health's Principals have a documented track record for high quality, cost-effective management of health care benefits and services for Physician Hospital Organizations (PHO), Preferred Provider organizations (PPO), Health Maintenance Organizations (HMO) as well as Self Funded Employers and Indemnity Insurers. We have the experience and flexibility to provide consultation, customized carve out medical management services as well as program development to a variety of health care companies and employers. Our programs and services will typically produce reductions in overall health care expenditures while allowing for efficient and seamless delivery of care. Under certain circumstances Optimal Health Group is willing to share risk and reward while guaranteeing savings to the Client at least equal to the cost of the program. Optimal Health's collaborative, total needs approach is designed to support the goals and objectives of the individual Health Care Organization, Employer or Insurer while managing health services so as to provide optimal care for the plan members. Optimal Health Group is able to provide the required medical management services utilizing the Client's current employees, converting them to Optimal Health Group employees or through existing Optimal Health Group employees. It is our preference that in any case most employees will be locally or regionally based.
http://www.ipsphysicianservices.com
IPS is located in Bethlehem, Connecticut and has been in business since 1990. Our Integrated Physicians Services component began in 1998. Originally formed as a billing services company, Physicians Services has broadened its scope of resources for successful medical practices, offering such additional services as Compliance and Profitability Consulting.
http://www.preferredmedical.net
Preferred Medical Network is a nationwide medical cost management company specializing in workers' compensation and personal injury claims. We are committed to servicing our clients on an individual level in order to provide the best medical cost containment option without jeopardizing quality healthcare to the patient. Our mission is to develop a relationship with each of our clients that is built on trust and confidence as we approach every case with a team effort.
http://www.alliedmanagedcare.com
With extensive experience in containing costs in numerous public and private entity insurance programs, Allied Managed Care prides itself in its customized programs to meet the unique needs of each client. Our broad spectrum of flexible service options mean that every client's program addresses its unique cost drivers for just the right fit.
http://www.worldwidemediclaim.com
World Wide Mediclaim Services has provided claims management and examination services for more than 20 years. World Wide Mediclaim's primary objective is to ensure that all claims are settled quickly and accurately, with the highest standards of care for all of its clients and partners. World Wide Mediclaim is on call 24 hours a day, every day for its partners and clients - regardless of the nature of the claim. From missed connections and lost baggage to injuries and illness, our business revolves around your client's travel plans. We're here to help ensure that every trip has a happy ending.
A national insurance broker with a novel approach to full-service employee benefits, Vxtra focuses solely on helping large medical practices develop benefits programs that better manage the rising costs of employee benefits, while attracting and retaining employees. At Vxtra, we are fact-driven. We go to extraordinary lengths to build relationships with carriers and underwriters with a single goal in mind - - "more data". With better data, we more often than not change the options historically presented to our clients. Our team holds a broad range of experience in underwriting and plan design, benchmarking, data analytics, medical practice management, and more--all of which converts into unprecedented contract negotiations and benefits management expertise. Combined, our expertise and unique business approach has changed the purchasing dynamics and contracting expectations for our clients. Frequently with low, single digit increases, and a year-over-year customer retention of over 95% -- we.re delivering what we promise. >> Click here to learn more about our Leadership Team and our Partners.
Independent Medical Systems, Ltd. (IMS), a Texas-based managed-care system, is pleased to offer our payors and clients a full range of products and services, including a nationwide preferred provider organization built on long-standing relationships with strategic partners and providers,offering higher discounts than many of our competitors. Further, because we care enough to listen to your needs, whether you're an employer, self-insured organization, insurer, third-party administrator or broker, we have gained a better understanding of your concerns. As the result, we are committed to enable you both access and availability to the highest quality healthcare plans at the most competitive prices. When your members call us, we understand that we are your representatives and advocates. Accordingly, we put forth the greatest effort possible to partner with you in providing not only the best service available, but assist them to fully understand your commitment for their welfare. Our flexible products provide you with a nationwide network that can be tailored to your regional needs. Additionally, we have worked to design a seamless and easy-to-use repricing process of medical claims to give you a satisfactory experience in this area of healthcare administration and to ensure the most expedient and accurate reimbursement of providers possible. IMS currently offers payors/clients products and services including: A preferred provider network of more than 60,000 directly contracted providers and partnerships accessing over 400,000 physicians, 4,000 hospitals and 50,000 ancillary medical facilities nationwide. The ability to create a custom provider directory online. The ability to check claim status when you call. Access to repricing information. The ability for your members to find a health care provider, online 24/7. Innovative approaches to disease and case management. The NCQA credentialing of doctors.
http://www.eaglemedicalmanagement.com
Eagle Medical Management, LLC is an independent health care services management company that has been serving our clients since 1995. We are a group of experienced health care executives with clinical backgrounds who are able to work effectively on a management team. We are action-oriented and results driven.
A private company, OneWorld Assist is based in Richmond, BC. OneWorld Assist is a member company of TU Group. Since 1964, TU Group has provided insurance and health care services to North American consumers. Areas of specialty include: insurance products and services, health care management and international travel and medical assistance services.
ALPS serves businesses, insurers, health care providers, government agencies, and other constituents by custom designing programs to meet each client's unique needs. As a physician peer review organization, ALPS is committed to ensuring quality health care while controlling costs. Our clients represent a variety of employers that include: Government Agencies Manufacturing Construction Transportation Utility Commercial Services Agriculture Health care cost containment is a major concern for all organizations, both public and private. ALPS is better positioned to respond to the challenge. We recognize the need for innovative solutions that will decrease cost without reducing quality medical care. We have in place several programs to address these needs.
http://www.americanhealthgroup.com
Founded in 1992, American Health Group (AHG) is an independent medical management corporation whose mission is to provide strategic healthcare focus for self-insured employers, delivering proven cost containment solutions, and measurable health quality outcomes. We combine innovative technology and medical expertise with a unique Spirit of Excellence.
MedSave USA was founded in 1991. The company is a leading national provider of medical record retrieval services to the insurance industry, legal, and third party administrators (TPAs). Record retrieval is one of MedSave's two core competencies. For more than 15 years, MedSave has served the needs of its clients, demonstrating the economy of its services and the preservation of client resources. Medsave's structure enables us to expedite the retrieval of records as an administrative activity, not through the dedication of managerial or executive staff members. The result is that records are usually retrieved faster and more cost-effectively through Medsave than if your staff members performed the search themselves. Our turnaround time for most records averages 3 , 4 weeks, which is significantly faster than the 2 , 5 month average time reported by the insurance and legal industries.
Today, Global Excel's 350 employees offer a wide range of services to a truly international clientele. With over 160 clients located in 26 countries around the world, Global Excel manages approximately 75,000 inpatient, outpatient and non-medical travel related emergencies per year. Our range of services includes: Cost containment Assistance Case management Claims services Legal recovery Home , Conditions of Use , Privacy Statement , Site Map , GlobalExcel USA , GlobalExcel Services
FOCUS is helping clients achieve greater PPO access and savings through services now offered by the FOCUS Client Consulting Group. Created this year, the Client Consulting Group partners closely with each client to help them achieve maximum benefits. The Consulting Group's programs are customized for each client's needs and are designed to help our customers operationalize access to the FOCUS network within identified timeframes. The Group also provides consultation, making recommendations when necessary for training or programming enhancements that will result in greater savings. The Client Consulting Group's mission is to offer one-on-one consulting services so FOCUS customer realizes the best results in PPO savings and utilization from accessing the FOCUS network.
Protegrity Services provides on site medical case management services for a division of General ElectricÔ in Louisville, Kentucky. Protegrity Services assists with all types of absences at the facility, and was recently recognized with the Pyramid Award, a GE commendation for outstanding performance. Protegrity Services is a licensed MCO in Florida, Ohio, Kentucky, Missouri, Georgia and Tennessee.
CPS provides technology and services that reduce claim transaction costs for healthcare payors. CPS services are designed to lower medical and administrative expenses associated with contracted and non-contracted medical care. The company has established electronic interfaces with virtually all of the largest health insurance carriers and HMOs in the U.S. as part of their network management and adjudication process. Concentra Preferred Systems is the parent company for two other entities that make up its enterprise suite of services. CPS is the payor-facing organization focused on the management of medical costs related to health care claims. Health Network Systems (HNS) is an organization that focuses on the management of health care networks, their contracts, provider data and the accurate repricing of claims. Combined, the two entities deliver an industry-wide solution for cost control and revenue management.
Spectrum Review Services (SRS) offers a broad variety of medical review services for insurers and claim management entities. Unlike other review businesses, Spectrum distinguishes itself through highly personalized service. When you call Spectrum, your first response will never be a machine. Instead, your interactions with us will be highly personal and tailored to suit your particular medical management needs. Members of the Spectrum Review team include specially trained nurses and physicians. Peer review physicians have been recruited nationally from private practices as independent contractors so that they may offer specialized, physician-to-physician case review for cases not meeting widely accepted national ISSI type criteria. In the critical specialty areas of psychiatric and substance abuse, Spectrum has engaged the services of Prest & Associates, Inc., a nationally known physician peer review group. Further, recognizing a growing need for peer review in the areas of chiropractic and physical/occupational therapy, Spectrum has specially trained peer review panels for claims review in this sub-specialty.
Zeneks Inc., a Tampa firm that specializes in managing out-of-network health care expenditures, will handle health claims negotiations for National Health Benefits Corp. based in Scottsdale, Ariz. Zeneks also has new alliances with Galaxy Health Network in Dallas and Heritage Consultants Inc., a third party administrator in Auburndale.
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