As a Diversified Administration Corporation client, you are well aware of the fact that we have always strived to provide the most effective cost control programs in the industry. In many cases, these programs are provided through technology and processes that we've developed in-house. Due to the ever changing climate within the health care industry, we feel an obligation to our clients to improve and enhance these programs. To that extent, we have researched the industry to try to find a business partner that has the ability to provide programs that would maximize savings while allowing us to maintain a high level of claim processing efficiency
We feel that we have found that partner in "Premier Healthcare Exchange, Inc." (PHX). For the past 10 years, PHX has been recognized as the partner of choice by Third Party Administrators, Insurance Carriers, Self Funded Health Plans and HMOs to provide Cost Management Solutions. What makes PHX unique is that they have developed a product portfolio which provides an electronic interface to our Claim Payment System that allows us to submit 100% of your claims electronically to PHX for review.
Unlike other cost management solutions, this program differs in that it delivers an integrated single source solution to identify billing and coding errors, waste and abuse, clinical discrepancies and negotiated discounts on out-of-network claims. To accomplish this, PHX utilizes state of the art code review and advanced software combined with a staff of experienced clinicians, certified professional coders, and highly skilled claims negotiators.
Through this program, inpatient and outpatient hospital bills, physician bills, x-ray and lab facilities and other medical services and supplies are reviewed in order to capture maximum savings for the plan while reducing out-of-pocket expenses for plan participants. This provides a win-win situation for all. Another benefit to working with PHX is that the whole process is transparent to you and your employees, eliminating any concerns regarding disruptions or delays in claims processing.
By now you are probably thinking that a program like PHX must be expensive. In order to keep program costs at a minimum, we have structured the program so that you will only be charged a fee if there are savings realized. The fee structure is based on 25% of savings. If there are no savings, you will not be charged a fee. This provides a "no risk" solution that will allow Diversified Administration Corporation to maximize savings on your behalf at the lowest possible cost.
Contact your Diversified Sales Representative for more information at (888) 322-2524.