In an effort to balance healthcare costs with access to quality providers, payers today require network solutions that address this challenge. Stable and more predictable cost management, with access to different medical specialties and supplemental networks to improve one's 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 Primary Network was developed to provide a broad offering of quality and prestigious hospitals, ancillary facilities and physicians for client access. The Beech Primary Network provides access to contracted providers as a primary network offering or as an expansion of network access outside of a client's defined primary service area. Serving nearly 1 million people nationwide, the Beech Street Primary Network provides a cost-effective network with access to more than 200 different specialties. For clients looking to supplement and improve access to a local or regional PPO, access to our national network improves coverage and healthcare savings. Members who travel outside of the defined service area, attend an out-of-area school or reside in remote areas also have access to Beech Street's prestigious national network.
Advantages
- Beech Street's PPO network has saved our clients over $7 billion since 2000
- Beech Street continues to add high-quality providers to its Primary Network, comprised of more than 200 contracted specialties
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.
Summary
Beech Street has been offering comprehensive, cost-saving solutions for over 50 years. With its comprehensive national Primary Network, Beech Street offers a seamless solution for in-network claims that also increases the efficiency of your existing network solutions.
If you or your clients need access to a reliable network of providers, give us a call at 800.820.5824. Our consultative approach will help you analyze and determine the best solution for your network needs. |
