Optimized Network Solutions = Increase in Sales
Network optimization directly relates to a measurable increase in sales and premium. If you already have a network in place, we can enhance it. Or, build a custom network modeled to secure new business. Telemedicine and clinic solutions can also be included as part of optimization that further translates to market differentiation.
Why should you optimize your network with Competitive Health?
- WE KEEP IT SIMPLE
- THERE’S NO DISRUPTION TO YOUR CURRENT PROCESSES
- WE WORK WITH YOUR EXISTING FILE LAYOUTS AND SYSTEMS
- OUR SOLUTIONS WORK WITH ALL EXISTING VENDOR PARTNERS
The primary network and our optimized secondary network programs fees are charged on a per insured per month basis.
If your program already has a primary network relationship, our optimized secondary network provides coverage when the primary network has a gap in geography or allows providers to “opt out” of the network program leaving members without a local provider.
One Stop Consumer Tools
Competitive Health consolidates all your network and vendor partner look ups into one (1) toll-free number for provider referral and one (1) website. All networks data is displayed in a hierarchy dictated by the client. Both the payer and insured use the same resource.
Optimizing your network solution brings your company a measurable increase in sales. Our solution is directly responsible for employers choosing our networks over the competition.
ID Card On Demand
Our patented technology can deliver a custom generated patient ID card 24 hours a day – 7 days a week – 365 days a year. The patient or the provider access the ID card on demand with our proprietary web and phone access points (both mobile and IVR).
Transparent Member Out-of-Pocket Costs
Providing cost information prior to provider engagement is a key differentiator for Competitive Health. We work with clients to display and communicate health care costs including the provider’s contracted rate and billed charges.
Adding telemedicine to a program can bring users cost effective provider access and significant cost savings to the program when it’s effectively used by members. Competitive Health helps increase and foster telemedicine projected savings to employers by integrating the telemedicine message at the point of provider referral. We work with programs to display, educate, and communicate the availability of telemedicine programs to your members.
- EDI Mapping
- Claims Routing
- Custom PPO Look-up
- PPO Network Validation and Warehousing
- Panel Post
- PPO Channelling Tool