TL_2.1.18

Pre-Payment Solutions for Healthcare

Available from Equian

Network Solutions:
Equian provides a single integrated access point for a variety of network solutions including over 100 national, regional, and specialty PPOs. Our platform eases the administrative burden by eliminating the need for multiple Electronic Data Interfaces (EDI’s), claim format integrations, and changing workflow processes.

Our network solutions benefits include:
• The largest database of discounted reimbursement arrangements
• A superior IT platform for provider data and contract management
• Customized regional primary networks
• National primary, secondary, and specialty networks
• Network performance management

Clinical Bill Review
We utilize board-certified physicians and registered nurses to provide ongoing consultation and support for quality management and cost-saving strategies. And we make sure the highest quality care is also the most cost-effective care. Our differentiators include:

• eQuip platform to match the medical service category to the appropriate clinical specialist
• Segmentation by the severity and class of error
• Comprehensive charge challenge
• Negotiators obtain signed provider agreements
• Market specific tailored Pre-Payment programs
• Clients have real time access to the status of bills in review
• Integrate multiple sources of third party appropriate billing protocols

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