Search CompleteMarkets

...althcare, in partnership with the Nurses Service Organization (NSO), offers a ...icated service to agents placing NP liability business. *Real-McKeighan, Tam...

...dants Skilled Care — licensed nurses and clinical staff providing skilled .... This program can combine GL and Professional Liability with employee endorsements to sa...

...ve offering, administered through Nurses Service Organization (NSO), has grown...ice to Animals, Consulting Services Liability, and Medical Director coverage a...

...ces: Home Healthcare Providers Professional/General Liability Access E&S I... infusion in two states and needs professional liability plus GL limits to satisfy hospit...

...home health agency adding skilled nurses and therapists may need professional liability plus regulatory defense;...es defense, and employment benefits liability. Available limits and endorsemen...

...n available include: Professional liability and medical practitioner...date a range of account sizes, with liability limits commonly available up to ...

For medical, dental, vision, prescription drugs, and other health-type plans, managed care can be critical to benefit design and overall product success. For a full array of products, our software solutions offer the availability of managed care support for the development of provider networks, fee schedules, discounts, benefit plan provisions, pre-authorization, pre-certifications, and other features. Administration Capabilities Ability to design policies that work in tandem with a designated provider network, or multiple provider networks assigned. Flexibility to enroll groups or individuals to a selected provider network or a combination of networks. Start and termination dates for eligibility of providers. Set-up of requirements for pre-certifications, cost-containment provisions, and other user-defined actions. At the insured and dependent levels, the ability to allow selection of primary and secondary providers, and hospital affiliation. Claims Capabilities Claims plans may be designed for standard, dual and triple option schedules with reciprocal benefit provisions. Support for both co-insurance and co-pays. Automatic adjudication of benefits based on provider relationships. Ability to assign provider to multiple networks, and unique payment arrangements or "deals." Deals by fee-for-service less discount amount or percent, by scheduled benefit amount for service, by per-diem, and other arrangements. Automatic load of network provider lists and schedules or fees. Flexibility for providers within a clinic to participate in different deals. Dental pre-estimates, hospital pre-certifications with availability for extensions, and other review features. Nurse reviewer notes, diagnosis, prognosis, objective and subjective findings, and other critical data. For long term care, capture of ADLs and SPMSQ score. Provider problem indicators. Availability for automatic calculation using lowest price negotiation when multiple contracts available. Quick-pay discounts instead of or in addition to standard arrangements. User definable reasonable and customary allowances. Comparison of preferred fee against standard reasonable and customary charge.