Typical
Services FOR PAYORS
Recruitment and
development of the network
Easy access to a national network of providers through one entry
point
Contracting and credentialing of the providers
Verification of patient benefits
Management of authorizations
Matching the services to the benefit and to the need of the patient
Utilization management and oversight
- Coordination of services from pre-hospital discharge to
discharge from home care episode
- Access to nursing in the local market (on a short term or
on-going basis)
- Nursing arranged for patient education and training for
self-administration of injectables
Billing to the payor specific to contract terms
Reimbursement to the provider
Data collection and customized reports reflecting information
related to:
- Pharmacy and major medical usage
- Formulary management
- Drug dispensing data
- Analysis and identification of trends
Consultative Services to assist in lowering your drug spend
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