In an effort to balance healthcare costs with access to quality providers, payers today require network solutions that address this challenge.
Deep and stable provider discounts, access to different medical specialties and supplemental networks to improve their own geographic coverage are just some of the needs payers have to offer choice and flexibility while staying competitive in the marketplace.
The Solution
The Beech Street Network offers several PPO solutions that can be customized to fit an individual client's needs:
- Beech Street Primary Network
- Beech Street Complementary Network
- Viant Supplemental Networks
The Beech Street Network family also includes the ppoNEXT and Texas True Choice networks.
How It Works
Beech Street offers a variety of solutions to help clients submit claims to Beech Street for repricing. Clients can utilize Electronic Data Interchange (EDI), web-based repricing or submit paper claims. Once entered into the system, claims are repriced to over 99% accuracy with all claims repriced within or exceeding industry guidelines. Quality checks are part of our process to ensure all claims have conformed to our negotiated discounts with our providers. Once claims have successfully been repriced, they are sent back to clients for further processing. Out-of-network claims can be automatically sent to other Viant health payment solutions to guarantee the most cost-effective solution for our clients. |
