Reference-Based Payments yielding 70% plan savings
Follow the Leader in Innovative Reimbursement Solutions
Serving millions of member lives
Reference-based payments yielding 70% plan savings
What is driving your decisions today?
Are you looking for a true partner that understands and guides you to the right reimbursement strategy for your client or group?
As healthcare reimbursement evolves, it eludes even the most seasoned reimbursement and health plan professionals. Wouldn’t it be easier if you could rely on a resource who stayed in front of market trends, as well as CMS and other regulatory changes?
Are you struggling to keep client and member satisfaction rates up with declining plan savings and unpredictable plan costs?
It’s time for empowerment! Gain credibility, improve operations and experience more positive reviews through intuitive business decisions based on analytics and specific modeling scenarios.
On a scale of 1 - 10, how would you score your claims flow management?
If your answer is less than 9, this warrants a closer look at the services you’re receiving. 10 IS achievable with automation, rapid implementation, portal access and flexible contract management.
How many different clinical resources and software systems do you currently utilize to manage patient care?
What are the benefits of having everything visible in ONE place - Utilization, Case and Disease Management PLUS Care Concierge and Balance Billing activity? Priceless!
Pricing for Medicare, Medicaid, and Commercial + Advanced Editing
Get to the true cost with our proprietary pricing and editing tool, including gap-fill offerings.
Plan Modeling + Analytics
Analyze reimbursement under alternative contract scenarios and determine the best strategy for your group/client and much more.
Patient Advocacy + Balance Bill Support
Patient Advocates educate, validate and communicate all in the name of the plan member. More than a concierge - a true advocate!
URAC Accredited Health Utilization + Case Management
Backed by nurses, we embrace care and technology to deliver the full spectrum of care management.
Balance Bill Avoidance / Escalation Support + PACE
PROTECTOR is fueled by The Phia Group, an industry leader in the self-insured market. Foolproof your plan and say goodbye to reimbursement headaches.
Reimbursement Education + Consulting
New to the world of reimbursement or in need of expert steering for a new or special client? Maximize your business with our expertise.
Complete Reference-Based Pricing Solution
Take a closer look at how this turnkey program increases savings and satisfaction.
Prospective Bundled Payment Solution
Plan members, payers and providers benefit across the board, with price transparency, higher quality care and more.