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SERVICES
Our list of services is summarized below and a detailed explanation can be provided upon request.
- Full range of underwriting and technical support (rate adequacy & reasonableness, funding vehicles, etc)
- Feasibility studies and financial projections
- Actuarial Services
- Provider Network discount analysis
- Utilization Management review
- Case Management review
- Pharmacy contracts review
- Process Improvement
- Communication programs
- Wellness Programs
- Fraud, Abuse and Waste prevention programs
- Medical Tourism
- Business Process Outsourcing
The types of clients we serve include, but are not limited to, the following:
- Employers – all size categories
- Joint Powers Agreement /Multiple Employer Trusts
- Brokerage and Consulting companies
- Third Party Claims Administrators
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