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Payors
Drug Manufacturers
Network Providers
 
Typical Services Available

 

 

 

 

 

 

 

 

 

 

 

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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