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Direct contracting with select hospitals, physicians, and other diagnostic facilities |
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Continuing provider contracting based on access to provider needs and our massive
cost data base |
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Utilization management programs designed to control utilization and cost of health
services |
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Member choice in using PPO and non-PPO providers with non-PPO use having higher
member cost |
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Easy to use pre-certification |
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Network Analytics complete with multiple network matching and data maintenance through a single portal |
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Contract compliance tools designed to ensure proper, accurate and timely provider payment |
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Ability to retrospectively audit contract compliance |
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Provider network customization on a client specific basis |