Beech Street Primary Network
National Coverage with Local Strength

The Issue
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 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 list of high-quality and prestigious hospitals, ancillary facilities and physicians for client access. Clients looking for a cost-effective network with deep savings can access our national network consisting of over 200 different specialties. For clients looking to supplement and improve access to a local or regional PPO, access to our national wrap network improves coverage and healthcare discounts. Members that 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.

Value Points

• Access to a national network with superior discounts
• Deep and stable discounts across all provider types with average discounts between 20%-50% of savings (market dependent)
• Access to over 200 contracted specialties
• Network repricing exceeds 99% accuracy with all claims within or exceeding industry guidelines
• Strengthened client, provider and network relationships due to correctly repriced claims
• Out-of-network claims can be automatically sent to other Viant claims cost management solutions to guarantee the most cost-effective solution for our clients

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.

Advantages

• The Beech Street PPO network has saved our clients over $7 billion since 2000
• Beech Street continues to add high-quality providers to its Primary Network. Currently, the network size is as follows:
  

  	Hospitals	5,080
  	Ancillaries	85,676
  	Practitioners	562,220 unique providers

• Beech Street has proven, over time, to deliver deep discounts that save its clients money. On a national average, historical savings for 2006 is as follows (specific markets may have greater savings):
  

  	Hospitals	24%
  	Ancillaries	35%
  	Practitioners	36%

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 and out-of-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 800.233.2478. Our consultative approach will help you analyze and determine the best solution for your network needs.