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| Provider Network Administration
Offering flexibility while maximizing access to in-network
providers and discounts
UMR has extensive experience in developing and administering network arrangements. Our provider network strategy centers on flexibility and maximizing accessibility to in-network providers and discounts. In forming provider network relationships, we evaluate discounts, access to preferred providers, electronic data interchange (EDI) capabilities, repricing, claim turnaround time and quality control measures. As a UnitedHealthcare
organization, UMR offers access to the UnitedHealthcare Options PPO Network. We
also have access to other national network arrangements. UMR provides
flexible network and alternative cost-saving products, including open-model PPO
options, open access point-of-service offerings (in select markets) and direct
customer/provider contract administrations.
We put specialty network program arrangements in place as well. In addition, UMR offers a cost reduction and savings (CRS) program to ensure customers receive value for their health care dollars. The program incorporates the offerings of travel and secondary network options, fee negotiations and large bill reviews at the cost of 30 percent savings. We also offer managed care dental plans to help control the rising costs of dental care. UMR has the resources to deliver the best network solution for our customers, whether it is a national or regional network arrangement or a combination of both options. |
Other Core Products
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