• Health Plans to Meet the Benefit Needs of Companies
  and Group -- regardless of size
• Special Emphasis on Medicaid Managed Care
• Claim Form Processing with Emphasis on Managed Care Protocols
• Network Development—(Recruitment and Retention)
• Utilization Review Mechanisms and Report Systems
• Credentialling Services to Meet the Benefit Needs
• Customer Service
• Analysis of Information Flow and Timely Reporting
• Quality Assurance and Improvement
• Intervention Strategies
• Economic and Financial Analysis
• Cost Benefit and Cost Effectiveness Analysis
• Dental and Optical Practice Management
• Grievance Protocol
  
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Special expertise in Medicaid Managed Care -- Third Party Administration in Dental and Optical Plans

TPA Certifications:

Maryland
Pennsylvania
Texas
Virginia