Medical Management

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Our medical management services minimize plan spend by addressing the health of employee populations. Prime Dx, our sister company, offers a variety of health services, including disease management, care navigation, utilization review, and case management.

Services

UTILIZATION REVIEW
CASE MANAGEMENT
MATERNITY MANAGEMENT
CHRONIC DISEASE MANAGEMENT 
PREDICTIVE MODELING
WELLNESS
BIOMETRIC SCREENINGS
HEALTH RISK ASSESSMENTS

Care Navigation 

Our Care Navigation program offers certain surgical procedures at no (or reduced) out-of-pocket healthcare costs for the member. Our preferred surgery centers work with top surgeons and anesthesiologists to deliver high quality care at an affordable price. They do this by bundling services into one single and transparent cost. This eliminates billing and collections, administration costs, and out-of-network risks. 
DOMESTIC MEDICAL TOURISM
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ADVANCED RADIOLOGY
VIRTUAL PHYSICAL THERAPY

Technology

MILLIMAN ADVANCED RISK ADJUSTERS
CARE MANAGER APPLICATION
MEMBER HEALTH PORTAL
Additional Services
Health Plan Administration
BPO Services
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