Our central offices are located in Southern California. We have an extended proprietary provider network in California and Nevada and contracted physicians and facilities across the United States.
Summary
We offer a comprehensive medical care management system that extends beyond the current industry limitations of claims management and negotiation. We provide a seamless full-service case/claims/quality management process that enhances both the cost containment and quality of the service benefits of the payor to their insured. We look forward to an opportunity to demonstrate the significant advantages of our combined success.
Experience
-15 Years Managed Health Care senior executive background in all aspects of care delivery and quality management.
-Extensive provider network and contract negotiation on both national and regional levels.
-International and domestic U.S. experience in catastrophic case management and patient transport.
-Complex cost and quality management across all lines of medical specialty and insurance.
-Experienced Case Managers (RN’s with over 20 years background in case management).
-Extensive medical claims review and negotiation experience.
Support Systems
-A nationwide Centers-of-Excellence Network.
-A nationwide contracted network of over 200,000 providers and 15,000 facilities.
-24-hour on-call RN assistance via a toll-free line.
-Disease and Demand management educational and preventive care systems.
-International provider, contract and case management networks.
