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Network Services

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:

 

  • Coordinates and oversees the loading of fee schedule information and provider data, including consultation on facility contract loading, quality assurance and troubleshooting of data
  • Coordinates and consults on automatic claim payment methods
  • 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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