CLAIMSBRIDGE NAVIGATOR - NETWORK ACCESSClaimsBridge has been providing healthcare network support since 2001. We have continuously reinvested and built extensive nationwide networks that are designed to meet the specific needs of our clients. Through ClaimsBridge Navigator HPN Access, clients can access our existing high-performance networks across the nation.
Access to our existing HPNs offers significant value to employer’s health plans and administrators over existing solutions in place today. ClaimsBridge clients have reported savings in excess of 50%. Our clients also enjoy a heightened customer experience highlighted by:
- Practical and proven expertise – provides a seamless and simplified implementation
- Exceptional client support – a live person is always available to providers and members to answer questions
- One-stop-shop – Our one-stop-shop provides the infrastructure for claims capture and pre-adjudication processing, eliminating multiple vendors & increasing speed and efficiency
CLAIMSBRIDGE HAS INVESTED IN THE SERVICES AND SYSTEMS TO DESIGN, BUILD, AND ADMINISTER CUSTOM PROVIDER NETWORKS FOR SELF-INSURED EMPLOYERS.
Our high-performance networks:
- Deliver higher-quality care at consistently lower costs
- Include custom selected providers
- Incorporate class-leading discounts with steerage
- Are built on direct provider contracts based on Medicare
- Enable clients to customize the depth and breadth of services your employees need/want
- Are mature networks that deliver better outcomes
ClaimsBridge contracts directly with hospitals, providers, and specialty physicians utilizing Medicare-based rates. Our proprietary ClaimsBridge Connect infrastructure is used to perform the pre-adjudication of claims for the ongoing support of ClaimsBridge Navigator clients.
Our proven, market-leading high-performance networks offer improved member satisfaction, a better quality of care, quicker ramp-up of benefits, and cost savings for all stakeholders.
Through ClaimsBridge Navigator Rental Network Access, clients can access preferred networks across the nation. These existing networks offer significant value to employers who need to periodically expand coverage or add providers for their growing employee groups.
Rental networks can be accessed as primary or complementary coverage alongside customer networks and RBP and offer rapid turnaround for setup and implementation. They offer:
- The industry’s only single-source solution to provide claims capture, conversion, routing, and repricing infrastructure to aggregate rental networks in any Administrator Health Plan environment.
- Rapid access to broader coverage
- Flexible solution that addresses needs outside of typical geographic networks
ClaimsBridge guides clients through the evaluation, positioning, and final design of their rental network programs. If you have already selected a rental network, we can provide rapid access. If you are not sure about which rental network(s) will be the best fit for your business, we can help you assess the group needs, recommend an approach, and provide access in a timely manner.
OPTIMIZE YOUR RENTAL NETWORK STRATEGY AND LOWER YOUR COSTS BY USING CLAIMSBRIDGE AS THE SINGLE SOURCE GATEWAY FOR YOUR NETWORK MANAGEMENT.
With the most comprehensive network manager in the industry, clients have complete freedom and control to manage how and when a claim flows to its various network partners. The ClaimsBridge Celerity engine builds and manages the business rules down to the claim level, providing multiple pathways to maximize claims cost controls. We give Administrators total control over their claims management with standalone network optimization, in concert with our high-performing networks and direct contracts, or bundled with our Pricing Solutions. Our expert services save time, money, and resources resulting in lower costs for your employer groups.
ClaimsBridge replaces the “one-size fits all” approach with efficient access and expert services for the most cost-effective coverage attainable.
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