November 20, 2017

 

 

For Employers

Location Map
Services
Payor
Relationships
Provider Directory
Provider
Nomination Form
Contact Us

Our Services

Sales

  • Initial presentation of Center Care and other managed care products to interested groups
  • Assist with transition of new groups to their Account Executive
  • Work with agents and third party administrators to promote Center Care products
  • Assist with open enrollment and renewals
  • Employer Advisory Council
  • Quarterly client newsletter
  • Quarterly reports to employers
  • Coordination of health fairs

Member Services

  • Employee education
  • Claims assistance
  • Network information
  • Member complaints' resolution and tracking

Provider Relations

  • Network development
  • Provider contracting (hospitals, physicians and ancillary providers)
  • Provider education
  • Maintenance of provider relationships within the network
  • Provider complaint and problem resolution

Provider Credentialing

  • Systematic selection, evaluation and monitoring of providers (physicians, hospitals and ancillary providers)
  • Rigorous program based on NCQA guidelines
  • Peer evaluation by committee of local physician leaders

Claims Repricing

  • Ensure timely turn around for claims being repriced
  • Maintain up-to-date information on clients, participants, networks, and providers
  • Reprice claims using a fee schedule, percent to charge or per diem rate
  • Identify claims with possible problems prior to submission to TPA

 

HOME  |  PROVIDER SEARCH  |  FOR EMPLOYERS  |  WHO WE ARE  |  LET US KNOW  
Copyright 2017    Center Care Health Benefit Programs     All rights reserved.  Legal Disclaimers
Stadium Park Plaza     360 East 8th Avenue, Suite 411     P.O. Box 148
Bowling Green, KY      42101        (270) 745-1517        (800) 972-7038
A division of Commonwealth Health Corporation