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Fiserv Health’s primary focus in network management is
to meet the financial, strategic and quality needs of our clients by aggressively
pursuing the most cost effective network options. We offer a network strategy that consists of
strong national contracts and local/regional network relationships to meet the needs of each
customer’s entire employee population.
We also know the importance of steering the members of our hospital
and health system accounts into their own domestic network of providers. Our experienced network
operations staff works closely with our hospital and health system customers to assist in
contracting efforts with key providers for their domestic networks.
Our network operations team:
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Coordinates and oversees the loading of fee schedule information and
provider data, including consultation on facility contract loading, quality assurance and
troubleshooting of data
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Coordinates and consults on automatic claim payment methods
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Performs quality control checks
This built-in flexibility gives us
the ability to administer all levels of fee schedules and PPO configurations. We
also evaluate relationships based on electronic data interchange capabilities, repricing, claim
turnaround times and quality control measures.
Specialty networks, such as travel networks, are consistently
offered and many of our hospital and health system clients take advantage of our customized
provider look-up on the Web.
Flexibility, accessibility and versatility. Fiserv Health has the
tools available to determine the best network solutions for our hospital and health system
customers and plan members.
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